Sudden Death Documented During 24-hour Holter Monitoring

A 50-year-old female patient admitted for etiological syncope investigation. A 24-hour Holter was installed where the record showed the mechanism of sudden cardiac death. Sudden bradycardia caused by paroxysmal atrioventricular block led to torsades de pointes, ventricular fibrillation and death. Th...

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Bibliographic Details
Published in:Journal of cardiac arrhythmias 2020-04, Vol.32 (4)
Main Authors: Kárila Scarduelli Luciano, Rafael Zoppi Campane, Rafaela Louise Sales, Alessandra Kraus, Erden Ramirez Pestana, Rafael de March Ronsoni
Format: Article
Language:English
Subjects:
Ambulatory electrocardiography
Sudden death
Ventricular fibrillation
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Summary:A 50-year-old female patient admitted for etiological syncope investigation. A 24-hour Holter was installed where the record showed the mechanism of sudden cardiac death. Sudden bradycardia caused by paroxysmal atrioventricular block led to torsades de pointes, ventricular fibrillation and death. This case shows the importance of Holter in the chronology of arrhythmic events that lead to sudden death and highlights a poorly reported event – the occurrence of cardiac death during 24-hour Holter monitoring.
ISSN:2674-7472