title: Idiopathic ventricular fibrillation in a patient with Wolff-Parkinson-White syndrome.
abstract: Ventricular fibrillation in a patient with ventricular preexcitation is usually due to atrial fibrillation with an extremely rapid ventricular rate from which it degenerates. We present a case with Wolff-Parkinson-White syndrome and coexistent idiopathic ventricular fibrillation. The patient, a 23-year-old male, had had a cardiac arrest four years earlier. In electrophysiological study, the accessory pathway was located in the left posteroseptal region and successfully eliminated with radiofrequency catheter ablation. After the ablation procedure, ventricular fibrillation was induced with programmed ventricular stimulation. A dual chamber implantable cardioverter defibrillator was implanted in the patient.
authors.affiliation: Department of Cardiology, Gulhane Military Medical Academy, Ankara, Turkey.
authors.forename: Sedat
authors.initials: S
authors.lastname: Kose
authors.forename: Cem
authors.initials: C
authors.lastname: Barcin
authors.forename: Atilla
authors.initials: A
authors.lastname: Iyisoy
authors.forename: Hurkan
authors.initials: H
authors.lastname: Kursaklioglu
authors.forename: Ersoy
authors.initials: E
authors.lastname: Isik
authors.forename: Ertan
authors.initials: E
authors.lastname: Demirtas
mesh_terms: D000328:Adult; D017115:Catheter Ablation; D017147:Defibrillators, Implantable; D004562:Electrocardiography; D022062:Electrophysiologic Techniques, Cardiac; D004594:Electrophysiology; D006329:Heart Conduction System / Q000503:physiopathology; D006801:Humans; D008297:Male; D014693:Ventricular Fibrillation / Q000150:complications* / Q000503:physiopathology / Q000601:surgery; D014927:Wolff-Parkinson-White Syndrome / Q000150:complications* / Q000503:physiopathology