title: [Sudden cardiac death during long-term ECG monitoring of a patient with aortic stenosis].
abstract: Sudden cardiac death was documented on a Holter-monitor ECG in a 71-year-old man with known, but unoperated, calcific aortic stenosis (peak transvalvar gradient of 90 mm Hg). The tracing showed the development of a, presumably stress-induced, sinus tachycardia with broad QRSs and rapid transition to ventricular fibrillation. This rarely documented example of cardiac death in a patient with aortic stenosis during long-term ECG monitoring is of special interest because the patient had neither an inverse therapy effect nor impaired left-ventricular function.
mesh_terms: D000368:Aged; D001024:Aortic Valve Stenosis / Q000150:complications / Q000473:pathology*; D003645:Death, Sudden / Q000473:pathology*; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008991:Monitoring, Physiologic; D013616:Tachycardia, Sinus / Q000175:diagnosis / Q000209:etiology / Q000473:pathology; D013997:Time Factors; D014693:Ventricular Fibrillation / Q000175:diagnosis / Q000209:etiology / Q000473:pathology
vernacular_title: Plötzlicher Herztod im Langzeit-EKG bei einem Patienten mit Aortenstenose.