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. 2020 Apr 17;4(3):1–5. doi: 10.1093/ehjcr/ytaa061
2018
May Out-of-hospital cardiac arrest due to ventricular fibrillation (VF)
Computed tomography: anomalous left coronary artery from the pulmonary artery, transthoracic echocardiography: moderate left ventricular function, anterolateral hypokinesia
Magnetic resonance imaging: ejection fraction (EF) 42%, late enhancement anterolateral
June Surgery: reimplantation left coronary artery in aorta, start bisoprolol
August 24-h electrocardiogram: 5× non-sustained ventricular tachycardia (VT)
Magnetic resonance imaging: EF 47%, focal transmural anterolateral infarction
November Discussion electrophysiology team:
  • Previous infarction as potential substrate for VF: indication subcutaneous implantable cardioverter-defibrillator (ICD)

  • Programmed electrical stimulation to assess and ablate potential monomorphic VT

2019
January Patient consent for electrophysiological study and ICD
May Programmed electrical stimulation: only fast non-sustained polymorphic VT inducible, no ablation
subcutaneous ICD implantation
November Outpatient clinic: no ventricular tachyarrhythmias under bisoprolol

Blue indicates local hospital and orange indicates tertiary care hospital.