Unsustained ventricular tachycardia - to treat or not to treat

Article Abstract:

It may be premature to recommend implantable cardiac defibrillators for heart attack patients who have a high risk of death from severe arrhythmia. A 1996 study found that heart attack patients who had a defibrillator implanted survived longer than those taking anti-arrhythmia drugs. However, the anti-arrhythmia drugs used in the study are known to have severe side effects. This could account for the increased death rate in those taking them. In addition, the cost of implanting and maintaining the devices in all the patients who might need them could reach $1 billion annually.

Health aspects, Care and treatment, Editorial, Defibrillators, Cardiovascular instruments, Implanted, Cardiovascular implants, Arrhythmia, Ventricular tachycardia

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A 61-year-old man with a wide-complex tachycardia

Article Abstract:

A 61-year-old man was admitted to a hospital because he had difficulty breathing and had a rapid heartbeat. In the hospital, his heart rate was 207 beats per minute, which is more than twice the normal rate. His doctors estimated that the rapid heartbeat had lasted for longer than 24 hours. This is usually caused by an old heart attack, but he had no history of heart attack or coronary artery disease. A heart biopsy showed that he had right ventricular dysplasia, which is characterized by deposits of fat and fibrous tissue in the heart muscle.

Causes of, Heart diseases, Tachycardia, Dysplasia

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A 33-year-old man with wide-complex tachycardia and a left ventricular mass

Article Abstract:

A 33-year-old man was admitted to a hospital with a heart arrhythmia called wide-complex tachycardia. Tachycardia means the heart is beating too fast. He had experienced palpitations, shortness of breath, and dizziness. An ultrasound scan of his heart revealed a mass inside the heart muscle of his left ventricle. It had the characteristics of a tumor and during surgery, it was found to be benign and was removed.

Hamartoma

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