Automatic Cardioversor-desfibrillator Implantable to a Patient with Recovered Sudden Death

Abstract

The implantable automatic cardio-desfibrillator has been one of the therapeutic modalities highly effective in the treatment of malignant arrhythmia. Currently its indication has been extended to the primary health care of patients with severe structural cardiopathies and high risk of ventricular arrhythmia. A case of a 72 year old patient with history of arterial hypertension and chronic ischemic cardiopathy which developed into a dilated mio-cardiopathy. This patient came to the medical services due to transitory loss of consciousness with natural recovery, accompanied by short duration gallop rhythm. While in the emergency service he had a tachyarrythmia which repeated spontaneously. For this reason it was decided to admit him with the diagnosis of ventricular arrhythmia syncope. The objective of this paper is to demonstrated that it is possible, without great resources, the implant of these devices at the cardiology service of the assisting institutions.

Keywords

• desfibriladores implantables
• muerte súbita cardiaca
• taquicardia
• cardiomiopatías