The automatic implantable cardioveter defibrillator: case report

A patient with polymorphous ventricular tachycardia is decribed. Because of the occurrence of ventricular fibrillation on two occasions, in spite of drug therapy, and the presence of ischemic heart disease, the patient was referred for insertion of an automatic implantable cardioverter defibillator (AICD) and coronary revascularization, which was cone at Washington, D.C. at the Veterans Administration Hospital. Patient has remained asymtomatic (11 months follow-up) and a repeated exercise test after ssurgery failed to reproduce the arrythimia. To our knowledge this is the firsr Puerto Rican patient in which an AICD has been implanted .