Aborted Sudden Cardiac Death Associated with Short QT Syndrome

Journal of Arrhythmia

Tetsuhiro Takei, MD¹  Naomasa Makita, MD²  Kaoru Okishige, MD³  Naoto Miyagi, MD³  Koji Azegami, MD³  Hideshi Aoyagi, MD³  Minetaka Maeda, MD³  Toshitaka Itoh, MD³  Daisuke Ueshima, MD³  Koji Sugiyama, MD³  Manabu Kurabayashi, MD³ 

[1] Department of Intensive Care Medicine, Nagasaki University, Graduate School of Medicine;Department of Physiology, Nagasaki University, Graduate School of Medicine;Heart Center, Yokohama-city Bay Red Cross Hospital;

关键词: Short QT syndrome;    Ventricular fibrillation;    Implantable devices;    Antiarrhythmic agent;   

DOI  :  10.1016/S1880-4276(09)80006-9

来源: DOAJ

【 摘 要 】

A 43-year-old male was transferred to our institute. His heart rhythm on admission was ventricular fibrillation (VF) which was successfully defibrillated with a direct current shock (DC). A diagnosis of short QT syndrome (SQTS) was made on the basis of an abnormally short QT interval of 280 ms during the sinus rhythm. During treatment for mild total hypothermia, VF recurred repeatedly necessitating DCs. Nifekalant at a dose of 0.3 mg/kg was intravenously administered, the QT interval was prolonged from 280 to 370 ms and VF no longer recurred. Subsequently the patient underwent implantation of an implantable cardioverter defibrillator.

【 授权许可】

Unknown