|Home | About | Journals | Submit | Contact Us | Français|
A 70-year-old man with a history of morbid obesity, atrial fibrillation, hypertension, hypercholesterolaemia and type II diabetes mellitus was undergoing a dobutamine stress echocardiogram for the evaluation of chest pain. At an infusion rate of 30 μg/kg per min the patient experienced sudden haemodynamically unstable polymorphic ventricular tachycardia and was immediately cardioverted to sinus rhythm with one monophasic 200 J d.c. shock. Subsequent coronary catheterisation showed non-obstructive coronary disease and moderate global hypokinesis with an ejection fraction of 35%. An automated cardioverter defibrillator was implanted; interrogation of the device at 1 month follow-up revealed no episodes of ventricular tachycardia.
Competing interests: none.
Patient consent: Patient/guardian consent was obtained for publication.