DV Case 6

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DV Case 6. Click on image twice for full enlargement.

Questions

DV Case 6. ECG after amiodarone infusion.

This is a tracing of a 52 year old male, with viral infection and high fever (40° C), who was admitted to the hospital with syncopal attacks, loss of consciousness and seizures.

One of these attacks was recorded and the ECG monitor tracing showed Ventricular Fibrillation (Torsades de pointes).

In the VF protocol, amiodarone iv was infused. This produced the ECG on the right, but VF was repeatedly seen.

• What is your diagnoses?
• What is your management?

Answer