A CASE OF IDIOPATHIC VENTRICULAR-FIBRILLATION WITH INCOMPLETE RIGHT BUNDLE-BRANCH BLOCK AND PERSISTENT ST SEGMENT ELEVATION

Authors
SUMIYOSHI M NAKATA Y HISAOKA T OGURA S NAKAZATO Y KAWAI S OKADA R YAMAGUCHI H
Citation
M. Sumiyoshi et al., A CASE OF IDIOPATHIC VENTRICULAR-FIBRILLATION WITH INCOMPLETE RIGHT BUNDLE-BRANCH BLOCK AND PERSISTENT ST SEGMENT ELEVATION, Japanese Heart Journal, 34(5), 1993, pp. 661-666
Citations number
NO
Categorie Soggetti
Cardiac & Cardiovascular System
Journal title
Japanese Heart Journal → ACNP
ISSN journal
00214868
Volume
34
Issue
5
Year of publication
1993
Pages
661 - 666
Database
ISI
SICI code
0021-4868(1993)34:5<661:ACOIVW>2.0.ZU;2-7
Abstract
We report the case of a 42-year-old male who suffered from ventricular fibrillation (VF) without obvious QT prolongation. His electrocardiog ram showed incomplete right bundle branch block (IRBBB) and persistent ST segment elevation in the right precordial leads during sinus rhyth m. Cardiac catheterization revealed no overt heart disease except mode rate endocardial and subendocardial fibrosis in the left ventricle. Me ntal stress seemed to trigger VF, and ST elevation became prominent ju st before VF. Propranolol and mexiletine have been effective in preven ting VF for over 3 years.