[Acute anterior wall infarct with intractable ventricular fibrillation: successful therapy by recanalization of a left anterior descending coronary artery occlusion].
A 35-year-old male patient was admitted to the intensive care unit of a community hospital with an acute anterior myocardial infarction complicated by initial recurrent episodes of ventricular fibrillation and successful resuscitation. Persistent malignant ventricular arrhythmias during the following days necessitated external defibrillation approximately 250 times. The patient was transferred to the Hannover Medical School, where the occluded left anterior descending coronary artery was successfully recanalized. Eight days later, the malignant ventricular tachyarrhythmias ceased and after 59 days of hospitalization the patient could be discharged in stable condition.
von der Leyen
H
H
Department Innere Medizin, Medizinischen Hochschule Hannover.
Trappe
H J
HJ
Daniel
W G
WG
Amende
I
I
Krause
J
J
Lichtlen
P R
PR
D000328:Adult; D015906:Angioplasty, Balloon, Coronary; D003131:Combined Modality Therapy; D017023:Coronary Angiography; D004554:Electric Countershock; D004562:Electrocardiography; D015716:Electrocardiography, Ambulatory; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000628:therapy*; D012151:Resuscitation; D014693:Ventricular Fibrillation / Q000000981:diagnostic imaging / Q000628:therapy*
Akuter Vorderwandinfarkt mit intraktablem Kammerflimmern: Erfolgreiche Therapie durch Rekanalisation eins RIVA-Verschlusses.