Refractory ventricular fibrillation in patient taking Lamictal.

Refractory ventricular fibrillation in patient taking Lamictal.

Dream Andrew; Holmgren Helena; Merrill Rebecca; Simon Erin L

The American journal of emergency medicine

2018

2018-07

Refractory ventricular fibrillation occurs when there are three or more episodes of ventricular fibrillation within a 24-hour period. We report the first case of a 35-year-old woman without prior medical or family cardiac history who sustained refractory ventricular fibrillation while taking Lamictal for bipolar depression. She presented to the Emergency Department (ED) after a syncopal episode at work. She then sustained a cardiac arrest and required defibrillation in the ED multiple times due to recurrent ventricular fibrillation. The patient received a Subcutaneous Implantable Cardio-Defibrillator and was discharged home. There was no identifiable cardiac or medical cause of her ventricular fibrillation and the electrophysiologist suspected Lamictal caused her refractory ventricular fibrillation.

Ventricular fibrillation

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1324.e1–1324.e2

7

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