[The implantable cardioverter-defibrillator: sometimes necessary]

Item does not contain fulltextThe implantable cardioverter-defibrillator (ICD) is used in patients who are at risk for ventricular fibrillation after having suffered from a myocardial infarction. Initially, patient selection was limited to survivors of impending sudden death with coronary artery disease. Later, ICD implantation in high-risk coronary artery disease patients was found to lower cardiovascular mortality. More recently, patients with dilated cardiomyopathy and no coronary artery disease are also potential candidates for implantation of an ICD. In the Netherlands, it is expected that there will be 1-2 ICD-users per 10,000 inhabitants. This means that ambulance personnel, general practitioners and doctors in emergency wards will also be confronted with patients who have had one or more shock treatments. Such medical personnel should have knowledge about the function of the ICD, what to do if several shocks have been given and whom to contact in case problems persist

Brugada syndrome during physical therapy: a case report.

Contains fulltext : 70419.pdf ( ) (Open Access)ABSTRACT: This case report describes about a young, male patient with persisting syncope during physical therapy for complex regional pain syndrome type 1 after metatarsal fractures.The patient was referred to the Emergency Department, where Brugada syndrome was diagnosed. A cardioverter defibrillator was prophylactically implanted successfully. After this procedure, there were no contraindications for resuming further physical therapy for his painful foot. No clear causal inference with Brugada could be drawn from the complex regional pain syndrome type 1 or physical therapy described in this case report. Hyperthermia may, however, occur during such therapy, which is associated with dysrhythmia in general

[One-hundred years of atrial fibrillation in the Dutch Journal of Medicine],Honderd jaar atriumfibrilleren in het Nederlands Tijdschrift voor Geneeskunde.

Contains fulltext : 49658.pdf (publisher's version ) (Closed access

[Diagnostic image (286). A man with a painful axilla],Diagnose in beeld (286). Een man met een pijnlijke oksel.

Item does not contain fulltextA 61-year-old left-handed tennis player suffered dislocation of his implanted defibrillator, which was protruding through a left axillary skin rip

[Idiopathic ventricular tachycardia, an arrhythmia with good prognosis].

Contains fulltext : 87391.pdf (publisher's version ) (Closed access)Three patients, one experiencing palpitations and two complaining of chest pain in stressful situations, appeared to have monomorphic wide complex tachycardia. After excluding channelopathy, structural abnormalities and ischaemia of the heart, this arrhythmia was classified as idiopathic. Symptoms disappeared in one patient after using metoprolol, a beta-adrenoceptor blocker. The other two patients were treated with radiofrequency ablation of the focus from which the tachycardias arose. Idiopathic ventricular tachycardia mostly arises from the right ventricular outflow tract. The diagnosis is made upon history taking, including family history, echocardiography, 12-lead ECG, exercise testing and 24-hour Holter monitoring. The prognosis is excellent and sudden cardiac death is rarely seen

Plotse Dood bij sporters.

Item does not contain fulltex

The plasma universe

Safe sports participation involves protecting athletes from injury and life-threatening situations. Preparticipation cardiovascular screening (PPS) in athletes is intended to prevent exercise-related sudden cardiac death by medical management of athletes at risk, which may include disqualification from sports participation. The screening physician relies on current guidelines and expert recommendations for management and decision-making. There is concern about false-positive screening results and wrongly grounding an athlete. Similarly, there is a concern about false-negative screening results and athletes participating with potentially lethal disorders. Who is legally responsible if an athlete suddenly dies after a proper PPS resulting in low risk? Several consensus documents based on expert opinion describe only a few lines on legal responsibilities in eligibility screening and disqualification decision-making in athletes. This article discusses legal responsibilities and concerns in eligibility decision-making for physicians