The nightmare ECG of a spontaneously aborted sudden cardiac death

Ann Noninvasive Electrocardiol. 2019 Jan;24(1):e12547. doi: 10.1111/anec.12547. Epub 2018 Apr 19.

Abstract

We present the case of a spontaneously aborted sudden cardiac death related to an high-rate ventricular tachycardia in an healthy man with bileaflet mitral valve prolapse. An effective treatment of the patient, with complete suppression of ventricular ectopic activity, was achieved only combining medical therapy, ICD and catheter ablation, thus overcoming the limitations of each approach.

Keywords: catheter ablation; mitral valve prolapse; sudden cardiac death; ventricular arrhythmia; ventricular tachycardia.

Publication types

  • Case Reports

MeSH terms

  • Catheter Ablation / methods*
  • Combined Modality Therapy
  • Death, Sudden, Cardiac / prevention & control*
  • Defibrillators, Implantable
  • Electrocardiography / methods*
  • Emergency Medical Services
  • Follow-Up Studies
  • Humans
  • Intensive Care Units
  • Male
  • Middle Aged
  • Mitral Valve Prolapse / complications
  • Mitral Valve Prolapse / diagnostic imaging*
  • Patient Admission
  • Risk Assessment
  • Syncope / diagnosis
  • Syncope / etiology
  • Treatment Outcome
  • Ventricular Fibrillation / complications
  • Ventricular Fibrillation / diagnostic imaging*
  • Ventricular Fibrillation / surgery*