Case Study: EV-ICD and Epicardial Ablation in a 40-Year-Old Patient - Takeaways - MDSpire

Case Study: EV-ICD and Epicardial Ablation in a 40-Year-Old Patient

A 40-year-old man presented with palpitations and dizziness that had been ongoing for several days. EMS found that he was in sustained monomorphic ventricular tachycardia and performed cardioversion to restore regular heart rhythm. In conversation with care providers, the patient recalled a prior episode of chest pain that had lasted for several days. He was brought to Temple Health for further care.

  • By

  • June 4, 2025

  • 3 min

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  • 1

    A 40-year-old man with sustained monomorphic ventricular tachycardia was treated with cardioversion and referred to Temple Health for further care.

  • 2

    The patient had a history of anterior myocardial infarction, leading to poor left ventricular function and ventricular tachycardia.

  • 3

    The patient received an EV-ICD, which offers lower infection risk and avoids complications associated with traditional transvenous leads.

  • 4

    Epicardial ablation was performed due to the presence of a left ventricular thrombus, a rare approach in conjunction with an EV-ICD.

  • 5

    Six months post-procedure, the patient has not experienced further episodes of ventricular tachycardia and is doing well.

Original Source(s)

Case Study: EV-ICD and Epicardial Ablation in a 40-Year-Old Patient

  • by

  • June 4, 2025

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