Key result
A 42-year-old male with multiple comorbidities successfully survived recurrent sustained ventricular tachycardia after treatment with amiodarone infusion and automated external defibrillation.
Why the study?
Optimal management of ventricular tachycardia remains challenging in low-resource settings where antiarrhythmic medications, implantable cardioverter defibrillators, and catheter ablation are not accessible or affordable.
Case Report (n=1)
Highlights the successful management and significant challenges of treating recurrent sustained ventricular tachycardia in a low-resource setting without access to advanced electrophysiology interventions.
Should not change VT management; hypothesis-generating case leaves open amiodarone efficacy in controlled trials.
Sustained ventricular tachycardia is a life-threatening emergency contributing to cardiac mortality worldwide. Antiarrhythmic medications, Implantable cardioverter defibrillator and catheter ablation are the cornerstones for its management. Unfortunately, they are not accessible and/or affordable to patients seen in our setting. 42year old obese, retroviral positive, known ischemic heart disease patient, was admitted twice due to recurrent monomorphic ventricular tachycardia and successfully cardioverted with amiodarone infusion and automated external defibrillator respectively, He could not have coronary angiography and electrophysiology studies done due to unavailability and cost. Optimal management of ventricular tachycardia continues to be a challenge for cardiologists in developing countries.
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TT et al. (2023) conducted a case report in Recurrent sustained ventricular tachycardia (n=1). Amiodarone infusion and automated external defibrillation was evaluated on Survival and cardioversion to sinus rhythm. A 42-year-old male with multiple comorbidities successfully survived recurrent sustained ventricular tachycardia after treatment with amiodarone infusion and automated external defibrillation.
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