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Electrical storm reversible by isoproterenol infusion in a striking case of early repolarization

A 40-year-old woman was referred to intensive care unit after recurrent ventricular fibrillation. She was free of cardiac medical history or medications. The resting ECG displayed an extended early repolarization in the inferior leads and all the precordial leads. Incessant ventricular fibrillations...

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Detalles Bibliográficos
Autores principales: Bernard, Anne, Genée, Olivier, Grimard, Caroline, Sacher, Frédéric, Fauchier, Laurent, Babuty, Dominique
Formato: Texto
Lenguaje:English
Publicado: Springer US 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2705722/
https://www.ncbi.nlm.nih.gov/pubmed/19152104
http://dx.doi.org/10.1007/s10840-008-9348-5
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author Bernard, Anne
Genée, Olivier
Grimard, Caroline
Sacher, Frédéric
Fauchier, Laurent
Babuty, Dominique
author_facet Bernard, Anne
Genée, Olivier
Grimard, Caroline
Sacher, Frédéric
Fauchier, Laurent
Babuty, Dominique
author_sort Bernard, Anne
collection PubMed
description A 40-year-old woman was referred to intensive care unit after recurrent ventricular fibrillation. She was free of cardiac medical history or medications. The resting ECG displayed an extended early repolarization in the inferior leads and all the precordial leads. Incessant ventricular fibrillations justified a treatment by intravenous amiodarone associated with general anaesthesia and mechanical ventilation without success on ventricular fibrillation. Because of a low heart rate intravenous isoproterenol infusion was initiated. Isoproterenol infusion was associated with heart rate acceleration and a decrease in J point elevation and the disappearance of ventricular fibrillation episodes. No cardiac disease was documented and the patient was implanted of a single chamber ICD. Six months later the patient was free of syncope and ventricular fibrillation on ICD memory. This case report demonstrates the usefulness and efficiency of the isoproterenol infusion to eliminate recurrent ventricular fibrillation in patients with early repolarization.
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spelling pubmed-27057222009-07-07 Electrical storm reversible by isoproterenol infusion in a striking case of early repolarization Bernard, Anne Genée, Olivier Grimard, Caroline Sacher, Frédéric Fauchier, Laurent Babuty, Dominique J Interv Card Electrophysiol Case Report A 40-year-old woman was referred to intensive care unit after recurrent ventricular fibrillation. She was free of cardiac medical history or medications. The resting ECG displayed an extended early repolarization in the inferior leads and all the precordial leads. Incessant ventricular fibrillations justified a treatment by intravenous amiodarone associated with general anaesthesia and mechanical ventilation without success on ventricular fibrillation. Because of a low heart rate intravenous isoproterenol infusion was initiated. Isoproterenol infusion was associated with heart rate acceleration and a decrease in J point elevation and the disappearance of ventricular fibrillation episodes. No cardiac disease was documented and the patient was implanted of a single chamber ICD. Six months later the patient was free of syncope and ventricular fibrillation on ICD memory. This case report demonstrates the usefulness and efficiency of the isoproterenol infusion to eliminate recurrent ventricular fibrillation in patients with early repolarization. Springer US 2009-01-19 2009-08 /pmc/articles/PMC2705722/ /pubmed/19152104 http://dx.doi.org/10.1007/s10840-008-9348-5 Text en © The Author(s) 2009
spellingShingle Case Report
Bernard, Anne
Genée, Olivier
Grimard, Caroline
Sacher, Frédéric
Fauchier, Laurent
Babuty, Dominique
Electrical storm reversible by isoproterenol infusion in a striking case of early repolarization
title Electrical storm reversible by isoproterenol infusion in a striking case of early repolarization
title_full Electrical storm reversible by isoproterenol infusion in a striking case of early repolarization
title_fullStr Electrical storm reversible by isoproterenol infusion in a striking case of early repolarization
title_full_unstemmed Electrical storm reversible by isoproterenol infusion in a striking case of early repolarization
title_short Electrical storm reversible by isoproterenol infusion in a striking case of early repolarization
title_sort electrical storm reversible by isoproterenol infusion in a striking case of early repolarization
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2705722/
https://www.ncbi.nlm.nih.gov/pubmed/19152104
http://dx.doi.org/10.1007/s10840-008-9348-5
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