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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