A clinical case presentation of an 82-year-old man with multiple comorbidities admitted for dyspnea and peripheral edema, with a notable history of refractory ventricular tachycardia.
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May require cardioversion for drug-refractory VT in comorbid patients; this case leaves open generalizability and optimal sequencing.
Presentation of CaseAn 82-year-old man was admitted to the hospital because of dyspnea and peripheral edema.The patient had a long history of hypertension, diabetes mellitus, and depression with mild dementia. He had smoked heavily until 30 years before admission and had chronic obstructive pulmonary disease. Fifteen months before the current admission, he was admitted to another hospital because of substernal pain, dyspnea, and sustained ventricular tachycardia. The rhythm did not respond to the administration of adenosine, metoprolol, diltiazem, or lidocaine, but electrical cardioversion restored a normal rhythm. The results of laboratory tests are shown in Table 1.First Admission . . .
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Malhotra et al. (2003) studied this question.
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