Bidirectional Ventricular Tachycardia in a Women with Dilated Cardiomyopathy: A Case Report

Bidirectional ventricular tachycardia (BVT) is a rare arrhythmia characterized by QRS complexes with an axis in the frontal plane alternating polarity in the precordial leads and right bundle branch block (RBBB) morphology. To the best of our knowledge, there is no previous report in dilated cardiom...

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Bibliographic Details
Published in:Advanced Journal of Emergency medicine 2020-02, Vol.4 (1), p.e12
Main Authors: Norwood, Dalton Argean, Dominguez, Lucia Belem, Dominguez, Ricardo Leonel, Winders, Walter Tyler
Format: Article
Language:English
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Case Report
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Summary:Bidirectional ventricular tachycardia (BVT) is a rare arrhythmia characterized by QRS complexes with an axis in the frontal plane alternating polarity in the precordial leads and right bundle branch block (RBBB) morphology. To the best of our knowledge, there is no previous report in dilated cardiomyopathy or in the context of a probable peripartum cardiomyopathy. A 26-year-old, 9-month female patient, with no significant past medical history (the patient denies medication intake, herbs like aconite, trouble during delivery, any heart issues or family history of sudden death or cardiomyopathies) who presents to the emergency room due to 11 days of dyspnea, exacerbated by daily activities, orthopnea, and paroxysmal nocturnal dyspnea. She presented with ventricular bigeminy and systolic dysfunction with left ventricular ejection fraction (LVEF)
ISSN:2588-400X
DOI:10.22114/ajem.v0i0.287