Osmar Antonio Centurión
Asunción National University,
Trejoy Sanabria 1657, Sajonia, Asunción
Paraguay
Expert Review
Therapeutic Management in the Idiopathic Ventricular Fibrillation: Is
there Still a Place for Pharmacological Treatment?
Author(s): Osmar Antonio CenturiónOsmar Antonio Centurión
Sudden cardiac death in the truly normal heart is an uncommon occurrence. The majority of patients without apparent structural heart disease who died suddenly do not actually have “normal” hearts. Idiopathic ventricular fibrillation (IVF) is an uncommon disease of unknown etiology that manifests as syncope, cardiac arrest or seizures caused by rapid polymorphic ventricular tachycardia (VT) or VF in the absence of structural heart disease or identifiable channelopathy. Usually during an arrhythmic storm, it is relatively easy to diagnose IVF in a cardiac arrest survivor when the onset of spontaneous polymorphic VT/VF can be recorded, and this shows initiation of polymorphic VT/VF by very short coupled ventricular ectopy. IVF is essentially a diagnosis by exclusion. However, typical clinical and electrophysiological characteristics present in some patients often allows for a.. View More»
DOI:
10.4172/jbb.10000192