Our patient is unique in that he has ischemic cardiomyopathy with a focal origin for his VF. Polymorphic VT/VF and electrical storm occurring in this setting are often attributed to acute ischemia or electrolyte abnormalities, and this was not noted in our patient. Although focal origin of VT and successful catheter ablation of VT have [...]

Continue reading " Focal Origin of Ventricular Fibrillation: DISCUSSION "

A 65-year-old male patient with a history of coronary artery disease (bypass grafting 10 years ago), diabetes mellitus, hyperlipidemia, and peripheral vascular disease experienced persistent substernal gripping chest pain and was evaluated in the local emergency room. He was found to be pale and diaphoretic, with runs of nonsustained VT. He was started on intravenous [...]

Continue reading " Focal Origin of Ventricular Fibrillation: CASE REPORT "

INTRODUCTION Three-hundred-fifty-thousand patients die each year of sudden cardiac death alone in the United States. Ventricular fibrillation (VF) and sustained ventricular tachycardia (VT) are the major causes of sudden cardiac death. Patients who survive an episode of sustained VT or VF have a recurrence rate of 30% in the next year, which increases to 50% [...]

Continue reading " Focal Origin of Ventricular Fibrillation "