RESUMO
A case report of 38 years old man who exprerienced syncope and torsade de pointes is presented with the short coupled variant. The patient had a normal QT interval [QTC 0,37 secondes] and multiform ventricular premature beats on the resting electrocardiogram. Under antiarrhythmic treatment [intavenous xylocain], torsades de pointes suddenly appeared and cardiac arrest was followed, After cordioversion, sinus rythm was restored. A cardiovascular disease was excluded, the echocordiography, the left and right venlncular angiography and coronarography were normal, Three months after, the patient presented at home a sudden cardiac death
Assuntos
Humanos , Masculino , Torsades de Pointes/diagnóstico , Eletrocardiografia , Taquicardia Ventricular , Morte Súbita CardíacaRESUMO
We report the case of a 58 years old male affected by a severe relapsing ventricular tachycardia despite a well administered anti arythmic therapy. Etiology is an arythmogene right ventricular dysplasia. Considering the severity of this arythmia we proceed to percutaneous implantation of an automatically implantable defibrillator under local anesthesia. Evolution was favorable with a follow-up of 3 months