EP Trials Review
e-Gaming & VT/VF
Electronic Gaming and Life-Threatening Ventricular Arrhythmias
Ref: VDO Game VT. Heart Rhythm Case Reports 2020. and Syncope triggered by electronic gaming. NEJM 2019.
Two peer-reviewed articles report 5 cases of syncope due to ventricular tachycardia (VT) or ventricular fibrillation (VF) while playing electronic games. All 5 cases were boys aged between 9-16. The underlying arrhythmogenic conditions include catecholaminergic polymorphic VT (CPVT), long QT syndrome, complex congenital heart disease s/p surgery, and idiopathic VF.
Three-channel 24-hour ambulatory Holter monitoring shows continuous polymorphic ventricular tachycardia at 200–230 BPM in a 9 year-old boy with CPVT playing of the Fortnite™ video game.
Increases in adrenergic stimulation associated with the powerful emotions of electronic gaming, are proposed as the mechanism for this phenomenon.

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