A 60 years old male is a case. Although patient had consciousness disappearance several
years ago and visited general hospital, but scrutiny related to cardiovascular disease
was not done. During the work, there was no particular induction, causing a loss of
consciousness for several tens of seconds. After recovery of consciousness, Holter
ECG was performed at the hospital, and non-sustained ventricular tachycardia was recognized.
Therefore, it was introduced to our hospital for the purpose of scrutiny. An elevation
of BNP was observed, and cardiac ultrasound examination revealed a decrease in peripheral
motion of wall motion. In the electrophysiological examination, ventricular fibrillation
was easily induced by early nineteen stimulation from the apex of the right ventricle.
After that it returned to normal sinus rhythm by DC defibrillation. The characteristic
findings of the cardiac MRI examination were combined and judged as chronic heart
failure due to impairment of left ventricular myocardial dysfunction and loss of consciousness
due to ventricular arrhythmia. We transplanted an implantable defibrillator and started
oral dosing of amiodarone. We will also report on the consideration.
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