Double rhythm in double heart.
We describe the case of a patient with heterotopic transplantation, sinus rhythm originating from the donor heart, ventricular fibrillation of the native heart and right severe decompensation. The double rhythm was easily detected with a surface ECG and the transthoracic echocardiogram, both performed in the left conventional and in the right modified mode. The patient was successfully treated with direct current shock with quick restoration of native heart synchronization and clinical relief of symptoms.
Potenza
Domenico
D
Department of Cardiology, Casa Sollievo della Sofferenza, San Giovanni Rotondo (FG), Italy. mimmopotenza@tin.it
Vigna
Carlo
C
Massaro
Raimondo
R
Russo
Aldo
A
Amico
Cesare
C
Cianfrone
Nicola
N
Fanelli
Raffaele
R
D004452:Echocardiography; D004554:Electric Countershock; D004562:Electrocardiography; D006339:Heart Rate / Q000502:physiology*; D016027:Heart Transplantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial; D016042:Transplantation, Heterotopic