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Gepubliceerd in:

01-07-2008 | case report

Aborted sudden cardiac death in a 52-yearold man without structural heart disease

Auteurs: R. J. Walhout, R. J. de Winter, T. A. Simmers, E. M. Buijs

Gepubliceerd in: Netherlands Heart Journal | Uitgave 7/2008

Abstract

Sudden cardiac death in the absence of apparent structural heart disease is an uncommon phenomenon. The majority of these patients do not have ‘normal’ hearts and specific diagnostic tools are required to identify structural or functional abnormalities. We describe the history of a 50-yearold man who survived ventricular fibrillation. Clinical investigation, including a coronary angiography and electrophysiological study, appeared to be normal. An implantable cardioverter defibrillator was inserted. Follow-up Holter monitoring was performed after a recurrent episode of ventricular tachycardia. It demonstrated transient ST-segment elevation. An acetylcholine provocation test was subsequently carried out. Reversible coronary spasm of the left descending coronary artery was found, during which a diagonal branch was occluded. It may be concluded that coronary spasm provocation is of value in the routine diagnostic work-up of patients surviving sudden cardiac death without apparent heart disease. (Neth Heart J 2008;16:239-41.)

vorige artikel Parallel import and pacemakers: who pays the ferryman?

volgende artikel Recurrence of cardiac arrest after 14 years without ICD interventions: a VF cluster immediately after delivery

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Titel: Aborted sudden cardiac death in a 52-yearold man without structural heart disease
Auteurs: R. J. Walhout
R. J. de Winter
T. A. Simmers
E. M. Buijs
Publicatiedatum: 01-07-2008
Uitgeverij: Bohn Stafleu van Loghum
Gepubliceerd in: Netherlands Heart Journal / Uitgave 7/2008
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI: https://doi.org/10.1007/BF03086153

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