Document Detail

Postpausal ventricular fibrillation analyzed by Holter-ECG: a case report.
MedLine Citation:
PMID:  1282254     Owner:  NLM     Status:  MEDLINE    
A 70-year-old male patient with a myocardial infarction, 3 months previously, happened to be wearing a Holter monitor at cardiac arrest during micturition. The patient had ventricular fibrillation (VF) and was successfully resuscitated by means of defibrillation. Analysis of the Holter tape revealed atrial fibrillation and secondary ventricular premature beats (VPB), i.e., VPBs dependent upon a relatively long interval between the two preceding heartbeats. The VF was preceded by an especially long R-R interval (1.45 sec) following a run of especially short R-R intervals implying the sharpest deceleration of the ventricular rate during 1 hour Holter recording preceding the cardiac arrest. A peculiar large alteration of the T wave configuration was also found to precede the VF.
G Nilsson; S Wiberg; S Band; T Jonasson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  15     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  1992 Dec 
Date Detail:
Created Date:  1993-02-02     Completed Date:  1993-02-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  2339-43     Citation Subset:  IM    
Department of Cardiology, Central Hospital, Västerså, Sweden.
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MeSH Terms
Atrial Fibrillation / diagnosis
Cardiac Complexes, Premature / diagnosis
Electric Countershock
Electrocardiography, Ambulatory*
Heart Arrest / diagnosis,  therapy
Urination / physiology
Ventricular Fibrillation / diagnosis*,  physiopathology,  therapy

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