Related Experiment Video

Updated: Jan 9, 2026

A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation
16:40

A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation

Published on: February 28, 2012

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Ventricular Fibrillation From Spontaneous Coronary Artery Dissection in a Patient With Atrioventricular Nodal

Rehan Akhtar1, Jennifer Llewellyn2, Matthew Grant3

  • 1Department of Medical Education, Royal Brompton Hospital, London, GBR.

Cureus
|December 1, 2025
PubMed

Insights

Managing ventricular fibrillation (VF) requires identifying the cause. This case shows how cardiac imaging revealed spontaneous coronary artery dissection (SCAD) as the cause of VF in a patient with a history of tachycardia, guiding implantable cardioverter defibrillator (ICD) decisions.

Area of Science:

  • Cardiology
  • Cardiac Electrophysiology
  • Cardiovascular Imaging

Background:

  • Ventricular fibrillation (VF) management is complex when the etiology is unclear.
  • Atrioventricular nodal re-entrant tachycardia (AVNRT) is a known arrhythmia, but its association with VF and cardiac arrest requires further investigation.
  • Spontaneous coronary artery dissection (SCAD) is an increasingly recognized cause of myocardial infarction and arrhythmias, particularly in younger women.

Keywords:
atrioventricular nodal re-entrant tachycardiaimplantable-cardioverter defibrillatormultimodality cardiac imagingspontaneous – coronary artery – dissection – etiology – acute coronary syndromeventricular fibrillation arrest

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