'Unexpected' sudden death avoided by implantable cardioverter-defibrillator in Emery-Dreifuss patient

A female patient just over 20 years of age developed first grade atrioventricular block, and later atrial fibrillation. When she was 41 years old she was diagnosed with Emery-Dreifuss muscular dystrophy (EDMD). A VVIR pacemaker was implanted in 2002, replaced in 2003 with an ICD. Nine months later,...

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Veröffentlicht in:Europace (London, England) England), 2007-12, Vol.9 (12), p.1158-1160
Hauptverfasser: Golzio, Pier Giorgio, Chiribiri, Amedeo, Gaita, Fiorenzo
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creator Golzio, Pier Giorgio
Chiribiri, Amedeo
Gaita, Fiorenzo
description A female patient just over 20 years of age developed first grade atrioventricular block, and later atrial fibrillation. When she was 41 years old she was diagnosed with Emery-Dreifuss muscular dystrophy (EDMD). A VVIR pacemaker was implanted in 2002, replaced in 2003 with an ICD. Nine months later, during febrile illness, the patient experienced three appropriate ICD discharges. No further ICD interventions occurred. The transient course of arrhythmic activity and the possible influence of triggering factors lessen the role of electrophysiologic study to identify risk of sudden death, and suggest that in patients with EDMD requiring pacemaker implantation, an ICD would be more properly indicated.
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When she was 41 years old she was diagnosed with Emery-Dreifuss muscular dystrophy (EDMD). A VVIR pacemaker was implanted in 2002, replaced in 2003 with an ICD. Nine months later, during febrile illness, the patient experienced three appropriate ICD discharges. No further ICD interventions occurred. 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source Oxford Journals Open Access Collection
subjects Adult
Atrial Fibrillation - complications
Atrial Fibrillation - physiopathology
Atrial Fibrillation - therapy
Atrioventricular Block - physiopathology
Death, Sudden - etiology
Death, Sudden - prevention & control
Defibrillators, Implantable
Female
Humans
Muscular Dystrophy, Emery-Dreifuss - complications
Muscular Dystrophy, Emery-Dreifuss - physiopathology
Tachycardia, Ventricular - complications
Tachycardia, Ventricular - physiopathology
Tachycardia, Ventricular - therapy
title 'Unexpected' sudden death avoided by implantable cardioverter-defibrillator in Emery-Dreifuss patient
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