Arrhythmogenic right ventricular dysplasia, torsades de pointes and sudden death. new concepts
Fontaine, G.; Aouate, P.; Fontaliran, F.
Annales de Cardiologie et d'Angeiologie 46(8): 531-538
1997
ISSN/ISBN: 0003-3928 PMID: 9538366 Document Number: 474255
M cells as well as vortex like reentrant tachycardia could explain the torsade de pointes pattern leading to sudden death at night in a patient with arrhythmogenic right ventricular dysplasia and saddle-back ST segment elevation in lead V2. The mechanism of the torsade is explained by the two-dimensional structure of the right ventricular free wall reconstructed from paraffin blocks. This case may represent a particular form of Brugada's syndrome and cases of sudden death in young males in South East Asia.