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Background:Epicardial patch defibrillators (EPDs) were commonly implanted in the 1990s for secondary prevention of suddencardiacdeath. This case highlights such a scenario.Case:A 75-year-old female with a history of cardiac arrest 30 years ago presented with shortness of breath and left leg swelling.
Brugada syndrome is thought to account for about one fourth of suddencardiacdeaths in individuals with structurally normal heart. Even though mutations in other channels have been described in Brugada syndrome, only those in SCN5A gene are considered to be definitely disease causing. mV or R/q ≥ 0.75.
The KDCA also established a reporting system with a legal obligation for special adverse events including myocarditis and pericarditis after COVID-19 vaccination. Autopsy studies were done for all suddendeath cases after COVID-19 vaccination in Korea because of a national compensation program for vaccine injuries.
No family history of suddencardiacdeath, cardiomyopathy, premature CAD, or other cardiac issues. Pericarditis? Symptoms have been constant since this second episode, and are still present on arrival, which seems to have been less than 1 to 2 hours from onset of symptoms. No similar symptoms in the past.
First Troponin I was <2 and peak was 8, echo showed subtle apical lateral hypokinesis, CRP was elevated, and patient was discharged with a diagnosis of regional pericarditis. In this case, there would be evolution, but the evolution would be typical of pericarditis (if the diagnosis of pericarditis was accurate!!
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