J Korean Geriatr Soc.  2004 Mar;8(1):43-46.

A Case of Paroxymal Ventricular Tachycardia Improved due to Electrical Defibrillation was done Repeatedly in Patient with Ce rebral Infarction

• Bong JD
• Kwak SH
• Lee TW

Abstract

Paroxymal ventricular tachycardia occurs most frequently during the first several months following myocardial infarction, although the risk of arrhythmia development continues for many years. Underlying disease was coronary artery disease, dilated or hypertrophic cardiomyopathy, valvular heart disease, myocarditis, and idiopathic. Idiopathic ventricular tachycardia may be the most common type in Korea and usually originates from either right ventricular outflow tract or left ventricular septum. For the emergency treatment of sustained, hemodynamically stable ventricular tachycardia, antiarrhythmic drugs are the therapy of choice(choice of therapy). Mostly class I antiarrhythmic drugs, such as lidocaine, are preferred. In hemodynamically unstable ventricular tachycardia, electrical defibrillation should be applied, in case of recurrences, followed by pharmacological treatment with class I antiarrhythmic drugs or amiodarone. We report a case of paroxymal ventricular tachycardia improved due to(by) electrical defibrillation was done repeaedly in patient with cerebral infarction.

Keyword

Ventricular tachycardia; Defibrillation; Amiodarone

MeSH Terms

Amiodarone
Anti-Arrhythmia Agents
Arrhythmias, Cardiac
Cardiomyopathy, Hypertrophic
Cerebral Infarction
Coronary Artery Disease
Emergency Treatment
Heart Valve Diseases
Humans
Infarction*
Korea
Lidocaine
Myocardial Infarction
Myocarditis
Recurrence
Tachycardia, Ventricular*
Ventricular Septum
Amiodarone
Anti-Arrhythmia Agents
Lidocaine