Abstract
Idiopathic Ventricular Fibrillation is a rare cause of sudden cardiac death. It may be difficult to prospectively diagnose idiopathic ventricular fibrillation due to the episodic nature of the arrhythmias as well as the inability to induce the clinical tachycardia on electrophysiological studies. Although an implantable cardioverter defibrillator can terminate episodes of ventricular fibrillation, it cannot prevent recurrences. We describe a patient who underwent radiofrequency ablation of the culprit ectopics initiating ventricular fibrillation for frequent symptomatic episodes.
References
Friedman, P. L., Stewart, J. R., & Wit, A. L. (1973). Spontaneous and induced cardiac arrhythmias in subendocardial Purkinje fibers surviving extensive myocardial infarction in dogs. Circulation Research, 33, 612–626.
Berenfeld, O., & Jalife, J. (1998). Purkinje-muscle reentry as a mechanism of polymorphic ventricular arrhythmias in a 3-dimensional model of the ventricles. Circulation Research, 82, 1063–1077.
Kim, Y-H., Xie, F., Yashima, M., et al. (1999). Role of papillary muscle in the generation and maintenance of reentry during ventricular tachycardia and fibrillation in isolated swine right ventricle. Circulation, 100, 1450–1459.
Haïssaguerre, M., Shoda, M., Jaïs, P., et al. (2002). Mapping and ablation of idiopathic ventricular fibrillation. Circulation, 106, 962–967.
Bogun, F., Good, E., Reich, S., et al. (2006). Role of Purkinje fibers in post-infarction ventricular tachycardia. Journal of the American College of Cardiology, 48, 2500–2507.
Cauchemez, B., Jaïs, P., Cabrera, J. A., et al. (2003). Mapping and ablation of ventricular fibrillation associated with long-QT and Brugada syndromes. Circulation, 108, 925–928.
Nogami, A., Sugiyasu, A., Kubota, S., & Kato, K. (2005). Mapping and ablation of idiopathic ventricular fibrillation from the Purkinje system. Heart Rhythm, 2, 646–649.
Noda, T., Shimizu, W., Taguchi, A., et al. (2005). Malignant entity of idiopathic ventricular fibrillation and polymorphic ventricular tachycardia initiated by premature extrasystoles originating from the right ventricular outflow tract. Journal of the American College of Cardiology, 46, 1288–1294.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Naik, N., Juneja, R., Sharma, G. et al. Malignant idiopathic ventricular fibrillation “cured” by radiofrequency ablation. J Interv Card Electrophysiol 23, 143–148 (2008). https://doi.org/10.1007/s10840-008-9284-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10840-008-9284-4