Case 71

Abstract

A 69-year-old man with ischemic cardiomyopathy and remote anterior infarction presented to the Emergency Department with palpitations. He was noted on ECG to have monomorphic ventricular tachycardia (left bundle, left superior axis; CL 420 ms). He was treated with intravenous amiodarone and lidocaine; however he had recurrent arrhythmias which uniformly responded to anti-tachycardia pacing. An example of the 12-lead rhythm strip and intracardiac recordings obtained during the pace termination of an episode of VT is included in Fig. 71.1. Coronary angiography revealed no significant disease progression since his last evaluation. He was referred for EP study and ablation. © Springer-Verlag London Limited 2011.