Electrical storm in an infant with short‐coupled variant of torsade de pointes

A 10‐month‐old infant experienced cardiac arrest caused by ventricular fibrillation (VF). His electrocardiogram (ECG) at rest was within the normal range. Amiodarone was indispensable due to its refractoriness to defibrillation. After implantable cardioverter defibrillator (ICD) implantation, ICD sh...

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Detalles Bibliográficos
Autores principales: Kise, Hiroaki, Ohno, Seiko, Kono, Yosuke, Yoshizawa, Masashi, Harama, Daisuke, Okafuji, Asami, Toda, Takako, Koizumi, Keiichi, Hoshiai, Minako, Sugita, Kanji, Horie, Minoru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2018
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6009772/
https://www.ncbi.nlm.nih.gov/pubmed/29951153
http://dx.doi.org/10.1002/joa3.12071
Descripción
Sumario:A 10‐month‐old infant experienced cardiac arrest caused by ventricular fibrillation (VF). His electrocardiogram (ECG) at rest was within the normal range. Amiodarone was indispensable due to its refractoriness to defibrillation. After implantable cardioverter defibrillator (ICD) implantation, ICD shock was delivered. ICD recordings documented VF and ventricular tachycardia (VT) triggered by premature ventricular contractions with an extremely short coupling interval (240 ms), which were controlled by verapamil. To the best of our knowledge, our case is the first infant with ScTdP. As the electrical storm with ScTdP occurs unpredictably, it can be a cause of sudden infant death syndrome.

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