Professional paper
Incessant ventricular tachycardia as a manifestation of septic cardiomyopathy – case report
PETAR PEKIĆ
; Department for Cardiovascular Disease, University Hospital Sveti Duh, Sveti duh 64, 10000 Zagreb, Croatia
Abstract
Incessant ventricular tachycardia is defined as frequent, repetitive and persistent ventricular arrhythmia or appropriate
activation of an implantable cardioverter-defibrillator when present, which occurs more than three times within 24 hours
and is ultimately followed by hemodynamic collapse. It is usually associated with structural heart disease ischaemia and
often has a poor prognosis. The treatment strategy involves defining the aetiology through a targeted medical history and
a physical examination (toxins, drugs, etc.), a 12-lead ECG, laboratory tests (electrolytes, etc.) and the detection of ischaemia.
This report presents a case of young puerpera with peripartal sepsis, with no evidence of peripartal cardiomyopathy
or ischaemia, which manifested itself initially with an arrhythmic cardiac arrest and a sequentially lethal outcome after a
prolonged resuscitation procedure.
Keywords
peripartal sepsis; septic shock; septic cardiomyopathy; electrical storm; ventricular tachycardia
Hrčak ID:
134171
URI
Publication date:
1.6.2014.
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