Key result
IV amiodarone and DC cardioversion successfully restore sinus rhythm in VT secondary to cardiac lipoma.
Case Report (n=1)
Amiodarone administration facilitated successful DC cardioversion in a young adult with refractory ventricular tachycardia caused by an infiltrating cardiac lipoma.
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May inform acute VT management in rare cardiac lipoma; single case leaves efficacy and generalizability open.
Ventricular arrhythmiaVentricular tachycardia Cardiac tumor Cardiac lipoma A twenty-five year-old male, presented to the emergency room with history of palpitations and presyncope of 30 min duration.Electrocardiogram revealed a left bundle branch (LBBB) morphology VT at a rate of 215 beats per minute.Five attempts at DC cardioversion with 200 J biphasic shock and apical-anterior paddle position were unsuccessful.Patient was deeply sedated, intubated, ventilated and was started on Amiodarone 300 mg IV bolus.DC cardioversion about an hour after was successful in restoring sinus rhythm (Fig. 1).Both
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Shenthar et al. (2015) conducted a case report in Ventricular tachycardia secondary to cardiac lipoma (n=1). DC cardioversion and Amiodarone was evaluated on Restoration of sinus rhythm. DC cardioversion combined with Amiodarone IV bolus successfully restored sinus rhythm in a 25-year-old male presenting with ventricular tachycardia secondary to an infiltrating cardiac lipoma.
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