Atrial Fibrillation-triggered Ventricular Fibrillation in a Patient with Early Repolarization Syndrome
Masaki Takahashi1, Hidekazu Kondo1, Keisuke Yonezu1
1Department of Cardiology and Clinical Examination, Faculty of Medicine, Oita University, Japan.
Abstract:
A 54-year-old man with early repolarization syndrome (ERS) implanted with an implantable cardioverter-defibrillator (ICD) developed persistent atrial fibrillation (AF) three years after the implantation. Similarly, the remote monitoring system begun frequently detecting ventricular fibrillation (VF) and polymorphic ventricular tachycardia (PVT). Longer RR intervals were repeatedly observed just before the initiation of PVT/VF. Catheter ablation for AF successfully diminished both the PVT and VF events.
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