Work

Appropriate implantable cardioverter-defibrillator therapy triggered by heat stroke

Year: 2024

Type: article

Abstract: We present a case of a 20 years old male with a history of syncope and Brugada type 1 pattern confirmed by a pharmacological test with flecainide, inducible ventricular tachycardia on an electrophysiological study, and had undergone placement of implantable cardioverter-defibrillator (ICD). In 12 months of follow-up, the patient was asymptomatic; on a day of extreme heat (46°C), he had a presyncope episode followed by an ICD shock. The patient was brought to the emergency room with heat stroke symptoms. ECG showed a Brugada type 1 pattern, and ICD interrogation showed ventricular fibrillation followed by successful conversion with 36-joules shock. Physical methods were used to lower body temperature in addition to intravenous fluids infusion. The patient was stabilized and discharged after 48 hrs.

Source: Indian Pacing and Electrophysiology Journal

DOI: 10.1016/j.ipej.2024.12.001

Authors: Carlos Fernando Paz Mamani, Mauricio Arce Carreón, Francisco Femenia, Josep Brugada

Institutions: Bolivian Forest Research Institute, Hospital Clínic de Barcelona

Language: English

Topic: Cardiac electrophysiology and arrhythmias

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $550