Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Idiopathic Ventricular Fibrillation Manifesting Delta-wave during Hypothermia Treatment
Miho MiyoshiHidekazu KondoTetsuji ShinoharaKunio YufuMikiko NakagawaNaohiko Takahashi
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JOURNAL OPEN ACCESS

2019 Volume 58 Issue 3 Pages 401-404

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Abstract

We herein report a case of a 53-year-old man who survived cardiac arrest due to ventricular fibrillation (VF). When admitted to the hospital, his 12-lead electrocardiogram did not show Brugada-like ST elevation, early repolarization or delta-wave, in any leads. During the treatment of hypothermia, the manifestation of delta-wave was documented, which disappeared after the cessation of this treatment. A cardiac evaluation showed no structural heart disease, and electrophysiology studies did not demonstrate conduction via accessary pathway. Although the etiology of VF could not be determined, the most probable diagnosis was idiopathic VF. The patient was fitted with an implantable cardioverter-defibrillator.

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© 2019 by The Japanese Society of Internal Medicine
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