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European Heart Journal 1990 11(4):372-376;
Copyright © 1990 by the European Society of Cardiology.
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© 1990 The European Society of Cardiology

Electrophysiologic testing after aortic valve replacement in two patients with aortic stenosis and preoperative ventricular fibrillation

P. SIOSTRZONEK, H. GÖSSINGER, F. PRISCHL, K. GEISSLER, B. SCHNEEWEISS, H. CICIYASVILLI, R. SCHMOLINER and H. MÖSSLACHER

I. Department of Medicine, Division of Cardiology, University of Vienna Austria

Received 6 February 1989; revised 5 June 1989; .

Address for correspondence: Peter Siostrzonek, MD, I. Department of Medicine, Division of Cardiology, University of Vienna, Lazarettgasse 14. A-1090 Vienna, Austria.

Abstract

In two patients with severe aortic stenosis successful resuscitation from ventricular fibrillation was documented by Holler recording/ECG monitoring. After aortic valve replacement programmed ventricular stimulation was performed in both patients, but ventricular tachycardia/ventricular fibrillation was not inducible. The patients were left without antiarrhythmic therapy and have been free from cardiac events for 18 and 20 months, respectively. The prognostic value of postoperative electrophysiologic testing after aortic valve replacement in patients with severe aortic stenosis and preoperative resuscitation is discussed.

Key Words: Aortic stenosis • aortic valve replacement • cardiac arrest • sudden cardiac death • programmed ventricular stimulation


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