Recurrent idiopathic ventricular fibrillation induced by high fever

• Published in: The American journal of emergency medicine 2015-09, Vol.33 (9), p.1331.e1-1331.e3
• Main Authors: Omori, Kazuhiko, MD, PhD, Jitsuiki, Kei, MD, Ohsaka, Hiromichi, MD, PhD, Mishima, Kentaro, MD, Ishikawa, Kouhei, MD, Obinata, Mariko, MD, Oode, Yasumasa, MD, Yanagawa, Youichi, MD, PhD
• Format: Article
• Language: English
• Subjects: Aged; Body temperature; Cardiac arrhythmia; Consciousness; Electrocardiography; Emergency; Emergency medical care; Fever; Fever - complications; Fever - physiopathology; Fever - therapy; Humans; Intubation; Male; Medical imaging; Ostomy; Recurrence; Urea; Ventilation; Ventricular Fibrillation - diagnosis; Ventricular Fibrillation - etiology; Ventricular Fibrillation - therapy
• ISSN: 0735-6757; 1532-8171
• DOI: 10.1016/j.ajem.2015.03.021

The results of the biochemical analyses of the blood on arrival were as follows: white blood cells, 6900/μL; hemoglobin, 13.5 g/dL; platelets, 30x104/μL; aspartate aminotransferase, 62 IU/L; alanine aminotransferase, 30 IU/L; glucose, 204 mg/dL; blood urea nitrogen, 18 mg/dL; creatinine, 1.03 mg/dL; sodium, 130 mEq/L; potassium, 3.9 mEq/L; chloride, 99 mEq/L; creatine phosphokinase, 258 IU/L; C-reactive protein, less than 1.8 mg/dL; fibrinogen degradation product, 47.2 μg/mL; and troponin T, 0.08 ng/mL. [...]the patients who have not had syncope or a Vf attack remain undiagnosed, whereas patients with Brugada-type ECG changes induced by a fever do not always require an implantable cardioverter/defibrillator [4-6].