A 25-year control of idiopathic ventricular fibrillation with electrophysiologic-guided antiarrhythmic drug therapy

被引:8
作者
Belhassen, B
机构
[1] Tel Aviv Univ, Dept Cardiol, Tel Aviv Sourasky Med Ctr, IL-64239 Tel Aviv, Israel
[2] Tel Aviv Univ, Sackler Sch Med, IL-64239 Tel Aviv, Israel
关键词
ventricular fibrillation; quinidine; amiodarone; electrophysiologic study;
D O I
10.1016/j.hrthm.2004.04.006
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The case of a 28-year-old man with recurrent syncope and multiple documented episodes of idiopathic ventricular fibrillation is reported. Recurrent syncope suggesting a self-terminating ventricular tachyarrhythmia occurred after 1 month of amiodarone therapy, and ventricular fibrillation was inducible at electrophysiologic study. After addition of quinidine, no significant ventricular arrhythmias could be induced. Similar results were found during a repeat electrophysiologic study performed 23.5 years later. During a 25-year period, the patient has remained arrhythmia-free on combined antiarrhythmic medication with quinidine and amiodarone.
引用
收藏
页码:352 / 354
页数:3
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