Ventricular Fibrillation in Arrhythmogenic Cardiomyopathy: Four Strategies to Effective Risk Management

This case report combines four high risk markers for the development of ventricular fibrillation in Brugada syndrome at the early stage of arrhythmogenic cardiomyopathy with prehistologic abnormalities. In many cases ventricular fibrillation can be the first manifestation of arrhythmogenic cardiomyopathy as a pure electrical disease and later on manifest arrhythmogenic disease develops. It takes about 5 years to recurrent ventricular fibrillation according to a recent study [5]. In this period of time it is not an option to explant the ICD for missing arrhythmic events.