Clin Res Cardiol (2017) 106:760–763 DOI 10.1007/s00392-017-1110-5 LETTER TO THE EDITORS 1 1 1,2 1 Vera Lachmann · Hisaki Makimoto · Malte Kelm · Florian Bönner Received: 2 March 2017 / Accepted: 29 March 2017 / Published online: 10 April 2017 © Springer-Verlag Berlin Heidelberg 2017 Sirs: negative. Biomarkers of myocardial damage were elevated Implantable cardioverter-defibrillator (ICD) is recom- (TnT = 398 ng/l), but graded as unspecific due to VF and mended for secondary prevention of sudden cardiac death CPR. (SCD) . However, reversible causes of SCD due to ven- Due to the unsuspicious coronary angiography and sur- tricular tachycardia have to be excluded. The importance vived SCD, we performed an electrophysiological study of order and extent of examination and the additional value (EPS) (Day 2). Here, a remarkable ventricular vulnerability of Cardiovascular Magnetic Resonance (CMR) and opti- was documented: Non-sustained polymorphic and multiple cal coherence tomography (OCT) in a patient with non- ventricular tachycardia could be induced very easily and obstructive coronary artery disease is presented in the fol- reproducibly. Ventricular fibrillation was induced by means lowing clinical case: of ventricular paired stimulation (right ventricular apex A 49-year-old male patient, without a history of heart stimulation 430/230/200 ms) (Fig. 1c). disease, was transferred
Zeitschrift für Kardiologie – Springer Journals
Published: Apr 10, 2017
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