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#Non specific ivcd ecg serial#

Non-sustained ventricular tachycardia noted on telemetry monitoring Definition 3,4

Correction of electrolyte abnormalities (specifically hypokalemia) may decrease progression to VF.

Cardioversion for hemodynamic compromise (I, B), B-blockade (I, B), amiodarone if no LQTS (I, C), urgent angiography if ischemia not excluded (I, C) 1.

The presence of NICM associated with malignant dysrhythmias warranted ICD placement. Cardiac CT after resolution of acute illness showed persistently depressed ejection fraction without coronary atherosclerosis. Early echocardiography demonstrated global hypokinesis with EF 30-35% attributed to severe sepsis and recurrent defibrillation.

#Non specific ivcd ecg serial#

However, serial ECG’s continued to show prolonged QTc (possibly acquired, home medications included metoclopramide and erythromycin). Initially attributed to electrolyte disturbances.Chest compressions and epinephrine produced return of spontaneous circulation with recovery to baseline neurologic function.ĮCG revealed prolonged QTc and chemistry panel notable for critical hypokalemia/hypomagnesemia. In the ED, the patient developed pulseless ventricular tachycardia – apparently polymorphic. Telemetry monitoring initially with ventricular bigeminy, then nonsustained ventricular tachycardia.

31F with autoimmune polyglandular syndrome (adrenal, thyroid and endocrine pancreatic insufficiency), presenting with fever and cough.Įvaluation consistent with sepsis presumed secondary to pulmonary source.