Exercise-Induced Ventricular Fibrillation: Seven Years Follow-Up

Yıl 2011, , 448 - 449, 01.04.2011

Gökmen Gemici Refik Erdim Ahmet Oktay

https://doi.org/10.5174/tutfd.2010.03077.1

Öz

We present a 7-year follow-up of a 55-year-old male who experienced ventricular fibrillation during the recovery period of exercise testing and refused implantation of an ICD. Normal left ventricular systolic function was found on echocardiographic examination, and coronary angiography revealed only a side branch disease with a vessel diameter of less than 2 millimeters. The patient was discharged on metoprolol and ASA in addition to his previous treatment with lisinopril and simvastatin. Outpatient cardiac evaluation by repeated 24-hour ECG monitorizations (Holter) revealed normal findings. On follow up visits every six months for the past seven years, the patient was found to be asymptomatic.

Anahtar Kelimeler

Ventricular fibrillation, exercise test

Exercise-Induced Ventricular Fibrillation: Seven Years Follow-Up

Öz

Kaynakça

• 1. Gibbons RJ, Balady GJ, Beasley JW, Bricker JT, Duvernoy WF, Froelicher VF, et al. ACC/AHA guidelines for exercise testing: executive summary. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation 1997;96:345-54.
• 2. Priori SG, Napolitano C, Memmi M, Colombi B, Drago F, Gasparini M, et al. Clinical and molecular characterization of patients with catecholaminergic polymorphic ventricular tachycardia. Circulation 2002;106:69-74. [CrossRef]
• 3. Zipes DP, Camm AJ, Borggrefe M, Buxton AE, Chaitman B, Fromer M, et al. ACC/AHA/ESC 2006 Guidelines for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: developed in collaboration with the European Heart Rhythm Association and the Heart Rhythm Society. Circulation 2006;114:e385-484. [CrossRef]
• 4. Epstein AE, DiMarco JP, Ellenbogen KA, Estes NA 3rd, Freedman RA, Gettes LS, et al. ACC/AHA/HRS 2008 Guidelines for Device Based Therapy of Cardiac Rhythm Abnormalities: developed in collaboration with the American Association for Thoracic Surgery and Society of Thoracic Surgeons. Circulation 2008;117:e350-408. [CrossRef]
• 5. Woelfel A, Foster JR, Simpson RJ Jr, Gettes LS. Reproducibility and treatment of exercise-induced ventricular tachycardia. Am J Cardiol 1984;53:751-6. [CrossRef]
• 6. Laitinen PJ, Brown KM, Piippo K, Swan H, Devaney JM, Brahmbhatt B, et al. Mutations of the cardiac ryanodine receptor (RyR2) gene in familial polymorphic ventricular tachycardia. Circulation 2001;103:485-90.
• 7. Tan JH, Scheinman MM. Exercise-induced polymorphic ventricular tachycardia in adults without structural heart disease. Am J Cardiol 2008;101:1142-6. [CrossRef]