Cardiac arrest following holiday heart syndrome

We describe the case of a patient who, after a binge, had an episode of ventricular fibrillation (holiday heart syndrome) and was successfully resuscitated. In the electrophysiological study, we found dual atrioventricular nodal pathways, an atrioventricular effective refractory period of 210 ms, an...

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Bibliographic Details
Published in:International journal of cardiology 1997-03, Vol.59 (1), p.101-103
Main Authors: Fuenmayor, Abdel J, Fuenmayor, Abdel M
Format: Article
Language:English
Subjects:
Adult
Alcohol
Atrial fibrillation
Atrioventricular Node
Biological and medical sciences
Cardiac dysrhythmias
Cardiology. Vascular system
Catheter Ablation
Electrocardiography
Ethanol - adverse effects
Heart
Heart Arrest - etiology
Holiday heart
Humans
Male
Medical sciences
Sudden death
Ventricular Fibrillation - complications
Ventricular Fibrillation - physiopathology
Ventricular Fibrillation - surgery
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Description
Summary:We describe the case of a patient who, after a binge, had an episode of ventricular fibrillation (holiday heart syndrome) and was successfully resuscitated. In the electrophysiological study, we found dual atrioventricular nodal pathways, an atrioventricular effective refractory period of 210 ms, and an inducible atrial fibrillation with a ventricular response of 210 bpm that produced hemodynamic collapse. Atrioventricular nodal modification by radiofrequency ablation was successfully performed. The patient stopped drinking alcohol and has remained completely asymptomatic. In this case, ventricular fibrillation was probably caused by the fibrillating atria combined with a fast AV node.
ISSN:0167-5273
1874-1754
DOI:10.1016/S0167-5273(96)02903-8