Journal article
A 54-year-old man with new-onset ventricular fibrillation
Heart (British Cardiac Society), Vol.103(23), pp.1922-1924
12/2017
DOI: 10.1136/heartjnl-2017-312052
PMID: 28954832
Abstract
Clinical introductionA 54-year-old man without significant medical history presented with sudden-onset chest discomfort and multiple episodes of ventricular fibrillation requiring external defibrillation and cardiopulmonary resuscitation. Coronary angiography ruled out significant artery stenosis. Both ventriculography and echocardiography revealed decreased left ventricular ejection fraction (25%). On examination, he was haemodynamically stable. The lungs were clear to auscultation and there was no jugular venous dilation. The cardiac examination revealed a regular rate and rhythm without murmur. Cardiac magnetic resonance (CMR) and 18F-2-fluoro-2-deoxyglucose positron emission tomography (FDG-PET) images were shown (figure 1).Figure 1Cardiac magnetic resonance with a T1-weighted inversion recovery image (A) and 18F-2-fluoro-2-deoxyglucose positron emission tomography (B) in a 54-year-old man with new-onset ventricular fibrillation.QuestionWhich of the following would be the next best step?Implantable loop recorderElectrophysiological testing for radiofrequency catheter ablationEndomyocardial biopsyGenetic testing
Details
- Title: Subtitle
- A 54-year-old man with new-onset ventricular fibrillation
- Creators
- Kan Liu - SUNY Upstate Medical UniversityJamal Ahmed - SUNY Upstate Medical UniversityDavid Feiglin - SUNY Upstate Medical University
- Resource Type
- Journal article
- Publication Details
- Heart (British Cardiac Society), Vol.103(23), pp.1922-1924
- DOI
- 10.1136/heartjnl-2017-312052
- PMID
- 28954832
- ISSN
- 1355-6037
- eISSN
- 1468-201X
- Language
- English
- Date published
- 12/2017
- Academic Unit
- Radiology; Cardiovascular Medicine; Internal Medicine
- Record Identifier
- 9984318810002771
Metrics
12 Record Views