Key result
A case study of pulsed ventricular tachycardia diagnosed and treated out of hours in an acute hospital highlights the potential for rapid haemodynamic instability if not promptly managed.
Case Report (n=1)
No
This case study highlights the presentation, diagnosis, and management of pulsed ventricular tachycardia in an acute hospital setting.
Prompt pulsed VT management averts instability; case reports leave open standardized out-of-hours protocols.
Ventricular tachycardia (VT) is an arrhythmia that originates from the ventricles of the heart and presents as a wide and prolonged QRS complex on the electrocardiograph of greater than 120 milliseconds, with a heart rate of over 100 beats per minute. VT can occur as a pulsed or pulseless rhythm. Pulseless VT occurs when the ventricles cannot effectively pump blood out of the heart, therefore resulting in no cardiac output. Pulsed VT can manifest with the patient presenting asymptomatically, or with symptoms of reduced cardiac output resulting from poor ventricular filling. There is the potential for the patient to quickly become haemodynamically unstable if not treated. This article discusses a case of pulsed VT, diagnosed and treated out of hours in an acute hospital.
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Rowberry et al. (2023) conducted a case report in Pulsed ventricular tachycardia (n=1). A case study of pulsed ventricular tachycardia diagnosed and treated out of hours in an acute hospital highlights the potential for rapid haemodynamic instability if not promptly managed.
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