DOI: 10.12890/2025_005443

Short-coupled premature ventricular contractions in a young male with sudden cardiac arrest

Authors

  • Taha Mansoor Department of Internal Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, USA
  • Francisco Flavio Costa Filho Department of Internal Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, USA
  • Alan Furlan Department of Internal Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, USA
  • Marcos Madeiro Department of Internal Medicine, Bronson Methodist Hospital, Kalamazoo, USA
  • Matthew Kelly Department of Internal Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, USA
  • Santhosh K.G. Koshy Department of Internal Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, USA; Department of Cardiology, Ascension Borgess Hospital, Kalamazoo, USA
  • Thomas Franzon Department of Cardiology, Bronson Methodist Hospital, Kalamazoo, USA

taha.mansoor@wmed.edu

Keywords

Short-coupled premature ventricular contractions, cardiac arrest

Abstract

Introduction: Idiopathic ventricular fibrillation secondary to short-coupled premature ventricular contractions (scPVCs) is a rare cause of sudden cardiac arrest and predominantly originates from the His-Purkinje system or right ventricular outflow tract.
Case description: A 36-year-old man with prior episodes of palpitations and a normal Holter monitor evaluation as well as a family history of sudden cardiac death presented following an out-of-hospital ventricular fibrillation cardiac arrest. After exclusion of other etiologies including structural, ischemic, and primary electrical disease, as well as the demonstration of scPVCs with moderator band origin, a diagnosis of scPVCs leading to sudden cardiac arrest was made. Following implantable cardioverter defibrillator and treatment of other medical concerns, he was discharged home.
Conclusion: Idiopathic ventricular fibrillation is an uncommon cause of sudden cardiac arrest. The diagnosis is made after the exclusion of other etiologies and the demonstration of characteristic electrocardiogram findings.

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References

  1. von Alvensleben JC, Etheridge SP, Viskin S, Collins KK. Short-coupled premature ventricular beats leading to ventricular fibrillation in a young patient: A Sudden Arrhythmia Death Syndrome case report and literature review. HeartRhythm Case Rep 2020;6:815-818. doi: 10.1016/j.hrcr.2020.07.009
  2. Bergeman AT, Postema PG, Wilde AAM, van der Werf C. Pharmacological treatment of short-coupled idiopathic ventricular fibrillation: A review. Indian Pacing Electrophysiol J 2023;23:77-83. doi: 10.1016/j.ipej.2023.03.004
  3. Sikdar S, Bera D, Kumawat K, Jahangir A, Chakraborty P. An Unusual Genetic Observation in a Case of Short-Coupled PVC-Triggered Ventricular Fibrillation. JACC Case Rep 2022;4:101651. doi: 10.1016/j.jaccas.2022.09.018
  4. Haïssaguerre M, Shoda M, Jaïs P, Nogami A, Shah DC, Kautzner J et al. Mapping and ablation of idiopathic ventricular fibrillation. Circulation 2002;106:962-967. doi: 10.1161/01.cir.0000027564.55739.b1

Published

2025-05-20

Issue

Vol. 12 No. 6 (2025)

Categories

How to Cite

1.
Mansoor T, Costa Filho FF, Furlan A, Madeiro M, Kelly M, Koshy SK, et al. Short-coupled premature ventricular contractions in a young male with sudden cardiac arrest. EJCRIM [Internet]. 2025 May 20 [cited 2026 Nov. 3];12(6). Available from: https://ejcrim.com/index.php/ejcrim/article/view/5443

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