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עמוד בית
Thu, 25.07.24

CASE COMMUNICATION

IMAJ | volume 25

Journal 11, November 2023
pages: 763-765

Idiopathic Ventricular Fibrillation or Ischemic Ventricular Fibrillation?

1 Leviev Heart Center, Sheba Medical Center, Tel Hashomer, Israel 2 Sports and Exercise Medicine Clinic, Sheba Medical Center, Tel Hashomer, Israel 3 Heart Institute, Hadassah Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel 4 Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

Summary

A 42-year-old healthy man collapsed suddenly in the street while walking. The patient received 2 minutes of basic life support until an automatic external defibrillator was brought and detected ventricular fibrillation (VF), which was successfully terminated by a single shock. The patient regained consciousness and was transferred to the hospital.

The patient’s physical examination was normal with no neurologic deficit. Blood pressure was 147/102 mmHg. Brain computed tomography showed normal findings. The first troponin I measurement within 1 hour of the event was in the normal range (19.6 ng/L, normal < 20 ng/L) and rose to 99.9 ng/L after 3 hours.

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