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Amiodarone induced RVOT VT converting to Scar VT

A 61-year-old African- American male with non-ischemic cardiomyopathy and ejection fraction ( EF) of  30%, hypertension, and chronic renal insufficiency status post ICD placement in 2002 was transferred to our academic center for multiple shocks that he had been receiving from his ICD. The patient originally presented at a VA hospital in his town for multiple shocks that he had been receiving since the previous night. The patient’s past medical history included hypertension, hyperlipidemia, chronic renal insufficiency, obstructive sleep apnea on CPAP, mild pulmonary hypertension, chronic obstructive pulmonary disease (COPD) and gout. The patient had an ICD placed 6 years ago in 2002 for systolic dysfunction associated with NICM. He received a single shock 3 years ago for which he was started on sotalol.

Credits: Jayasree Pillarisetti MD; Subba reddy Vanga MD; Dhanunjaya Lakkireddy MD

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