Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/39211
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Type: Journal article
Title: Fever as a precipitant of idiopathic ventricular fibrillation in patients with normal hearts
Author: Pasquie, J.
Sanders, P.
Hocini, M.
Hsu, L.
Scavee, C.
Jais, P.
Takahashi, Y.
Rotter, M.
Sacher, F.
Victor, J.
Clementy, J.
Haissaguerre, M.
Citation: Journal of Cardiovascular Electrophysiology, 2004; 15(11):1271-1276
Publisher: Futura Publ Co
Issue Date: 2004
ISSN: 1045-3873
1540-8167
Statement of
Responsibility: 
Jean Luc Pasquié, Prashanthan Sanders, Mélèze Hocini, Li Fern Hsu, Christophe Scavée, Pierre Jaîs, Yoshihide Takahashi, Martin Rotter, Fréderic Sacher, Jacques Victor, Jacques Clémenty, Michel Haïssaguerre
Abstract: INTRODUCTION: Ventricular fibrillation (VF) is the main mechanism of sudden cardiac death. The clinical precipitants of sudden cardiac death due to idiopathic VF are poorly characterized. Emerging evidence implicates triggers originating predominantly from the distal Purkinje arborization and the right ventricular outflow tract. METHODS AND RESULTS: We report three patients without structural heart disease or repolarization abnormalities in whom a febrile illness was the only concurrent disease associated with unexpected sudden cardiac death due to VF storm. An automated defibrillator was implanted in all three patients. In one patient with persistent recurrent VF episodes, mapping demonstrated the origin of these triggers was from the Purkinje arborization of the anterior wall of the right ventricle. Ablation at a site of earliest activation during ectopy, where pace mapping was concordant and Purkinje potential preceded the onset of ventriculogram, resulted in suppression of all arrhythmias. After follow-up of 22, 9, and 18 months in the three patients, no ventricular arrhythmias have been recorded. CONCLUSION: We present a series of patients in whom an apparently benign febrile illness was associated with malignant ventricular arrhythmias in the absence of cardiac disease or other factors known to precipitate sudden cardiac death. Physicians should be aware of this possible phenomenon in cases of febrile illness associated with syncope.
Keywords: fever; syncope; sudden death; ventricular fibrillation; ventricular ectopy
Description: The definitive version is available at www.blackwell-synergy.com
RMID: 0020071855
DOI: 10.1046/j.1540-8167.2004.04388.x
Published version: http://www.blackwell-synergy.com/doi/abs/10.1046/j.1540-8167.2004.04388.x
Appears in Collections:Medicine publications

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