Sudden Death Documented During 24-hour Holter Monitoring
Keywords:
Sudden death, Ventricular fibrillation, Ambulatory electrocardiographyAbstract
A 50-year-old female patient admitted for etiological syncope investigation. A 24-hour Holter was installed where the record showed the mechanism of sudden cardiac death. Sudden bradycardia caused by paroxysmal atrioventricular block led to torsades de pointes, ventricular fibrillation and death. This case shows the importance of Holter in the chronology of arrhythmic events that lead to sudden death and highlights a poorly reported event – the occurrence of cardiac death during 24-hour Holter monitoring.
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References
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8. Thosar SS, Butler MP, Shea SA. Role of the circadian system in cardiovascular disease. J Clin Invest. 2018;128(6):2157– 67. https://doi.org/10.1172/JCI80590
9. Black N, D’Souza A, Wang Y, Piggins H, Dobrzynski H, Morris G, et al. Circadian rhythm of cardiac electrophysiology, arrhythmogenesis, and the underlying mechanisms. Heart Rhythm. 2019;16(2):298–307. https://doi.org/10.1016%2Fj. hrthm.2018.08.026
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2. Watanabe E, Tanabe T, Osaka M, Chishaki A, Takase B, Niwano S, et al. Sudden cardiac arrest recorded during Holter monitoring: prevalence, antecedent electrical events, and outcomes. Heart Rhythm. 2014;11(8):1418–25. https:// doi.org/10.1016/j.hrthm.2014.04.036
3. Huikuri HV, Castellanos A, Myerburg RJ. Sudden death due to cardiac arrhythmias. N Engl J Med. 2001;345(20):1473– 82. https://doi.org/10.1056/NEJMra000650
4. Hamaguchi E, Kawano H, Kawahito S, Kitahata H, Oshita S. Torsades de pointes associated with severe bradycardia after induction of general anesthesia. Masui. 2011;60(9):1097–100.
5. Chorin E, Hochstadt A, Viskin S, Rozovski U, Havakuk O, Baranchuk A, et al. Female gender as independent risk factor of torsades de pointes during acquired atrioventricular block. Heart Rhythm. 2017;14(1):90–5. https://doi.org/10.1016/j.hrthm.2016.09.013
6. Leenhardt A, Glaser E, Burguera M, Nürnberg M, Maison- Blanche P, Coumel P. Short-coupled variant of torsade de pointes: a new electrocardiographic entity in the spectrum of idiopathic ventricular tachyarrhythmias. Circulation. 1994;89(1):206–15. https://doi.org/10.1161/01.cir.89.1.206
7. Chokr MO, Darrieux FCC, Hardy CA, Hachul DT, Britto AVO, Melo SL, et al. Short-coupled variant of “torsade de pointes” and polymorphic ventricular tachycardia. Arq Bras Cardiol. 2014;102(6):e60–4. https://doi.org/10.5935/abc.20140075
8. Thosar SS, Butler MP, Shea SA. Role of the circadian system in cardiovascular disease. J Clin Invest. 2018;128(6):2157– 67. https://doi.org/10.1172/JCI80590
9. Black N, D’Souza A, Wang Y, Piggins H, Dobrzynski H, Morris G, et al. Circadian rhythm of cardiac electrophysiology, arrhythmogenesis, and the underlying mechanisms. Heart Rhythm. 2019;16(2):298–307. https://doi.org/10.1016%2Fj. hrthm.2018.08.026
10. Takeda N, Maemura K. Circadian clock and the onset of cardiovascular events. Hypertens Res. 2016;39(6):383–90. https://doi.org/10.1038/hr.2016.9
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Published
2020-04-16
How to Cite
Luciano, K. S. ., Campane, R. Z. ., Sales, R. L. ., Kraus, A. ., Pestana, E. R. ., & Ronsoni, R. de M. . (2020). Sudden Death Documented During 24-hour Holter Monitoring. JOURNAL OF CARDIAC ARRHYTHMIAS, 32(4), 252–256. Retrieved from https://jca.emnuvens.com.br/jca/article/view/3376
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Section
Clinical Arrythmia
