Key result
Cardiac sympathetic denervation successfully suppresses PVC-triggered refractory idiopathic ventricular fibrillation.
Why the study?
Refractory idiopathic ventricular fibrillation secondary to premature ventricular contractions lacks clearly defined management strategies and outcomes.
Key points are not available for this paper at this time.
Population
A healthy 34-year-old woman with refractory idiopathic ventricular fibrillation triggered by PVCs
Design
Case report with literature review
Answers are grounded in this paper and cite their sources.
Cardiac sympathetic denervation may be considered in refractory PVC-induced IVF; leaves open need for prospective trials to guide practice.
A healthy 34-year-old woman sustained refractory idiopathic ventricular fibrillation (IVF) secondary to premature ventricular contractions (PVCs). Ischemic, structural, and genetic evaluations did not identify an attributable pathology. Here, we review the epidemiology, prognosis, and management of PVC-induced IVF. We additionally highlight the utility of cardiac sympathetic denervation.
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Rosen et al. (2022) studied this question. Cardiac sympathetic denervation successfully treated refractory idiopathic ventricular fibrillation triggered by premature ventricular contractions in a 34-year-old woman.
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