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Recurrent premature ventricular contraction–induced ventricular fibrillation and resuscitated sudden death in a 26-year-old pregnant woman with bileaflet.

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Presentation on theme: "Recurrent premature ventricular contraction–induced ventricular fibrillation and resuscitated sudden death in a 26-year-old pregnant woman with bileaflet."— Presentation transcript:

1 Recurrent premature ventricular contraction–induced ventricular fibrillation and resuscitated sudden death in a 26-year-old pregnant woman with bileaflet mitral valve prolapse  Tisa Saha, MD, Robert Norris, MD, Jeffrey Luebbert, MD  HeartRhythm Case Reports  Volume 4, Issue 2, Pages (February 2018) DOI: /j.hrcr Copyright © 2017 Heart Rhythm Society Terms and Conditions

2 Figure 1 A and B: Recurrent premature ventricular contraction–induced ventricular fibrillation. C: “Protective” effect of spontaneous atrial fibrillation. Note that premature ventricular contractions are no longer able to induce ventricular fibrillation. HeartRhythm Case Reports 2018 4, 58-62DOI: ( /j.hrcr ) Copyright © 2017 Heart Rhythm Society Terms and Conditions

3 Figure 2 Abnormal posteromedial papillary muscle. Note the enlarged papillary muscle with areas of focal brightness on intracardiac echocardiography consistent with fibrosis and scarring (blue arrows); same areas were not visible on cardiac magnetic resonance imaging or on voltage mapping. HeartRhythm Case Reports 2018 4, 58-62DOI: ( /j.hrcr ) Copyright © 2017 Heart Rhythm Society Terms and Conditions

4 Figure 3 A: Twelve leads of premature ventricular contraction morphology and site of early activation and successful termination of premature ventricular contraction with ablation. B: Electroanatomic map created during sinus rhythm demonstrating relatively normal myocardial voltage with earliest sites of PVC origin overlay. HeartRhythm Case Reports 2018 4, 58-62DOI: ( /j.hrcr ) Copyright © 2017 Heart Rhythm Society Terms and Conditions

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