Sudden Cardiac Death in a Southeast Asian Immigrant: Clinical, Electrophysiologic, and Biopsy Characteristics

JON GILBERT, ROBERT L. GOLD, CHARLES I. HAFFAJEE, JOSEPH S. ALPERT

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

The syndrome of sudden cardiac death in southeast Asians has only recently been given attention in the American medical literature. This case report describes a patient who presented with this rare syndrome. The physical examination, Holter monitor. 2‐D echocardiogram, exercise treadmill test, radionuclide ventriculogram, coronary angiography, and endomyocardial biopsy were all normal. Programmed ventricular stimulation reproducibly induced sustained polymorphic ventricular tachycardia, Oral procainamide, oral quinidine and oral quinidine plus propranolol were not successful in suppressing inducible polymorphic ventricular tachycardia. The arrhythmia remained inducible after six weeks of oral amiodarone therapy. However, he has had no clinical recurrences while on amiodarone after one year of follow‐up.

Original languageEnglish (US)
Pages (from-to)912-914
Number of pages3
JournalPacing and Clinical Electrophysiology
Volume9
Issue number6
DOIs
StatePublished - Nov 1986
Externally publishedYes

Keywords

  • amiodarone therapy
  • sudden cardiac death
  • sustained ventricular tachycardia

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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