Initial treatment of a patient with ventricular tachycardia: Case report
Ventricular Tachycardia (VT) is defined as any rhythm with more than 120 beats per minute originating distally from the His bundle, in the ventricular myocardium, outside the actual conduction system, and represents a life-threatening arrhythmia. The treatment of VT is based on certain principles th...
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| Format: | Article |
| Language: | English |
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Serbian Medical Society, Department of Emergency Medicine, Belgrade
2025-01-01
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| Series: | ABC: časopis urgentne medicine |
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| Online Access: | https://scindeks-clanci.ceon.rs/data/pdf/1451-1053/2025/1451-10532501007K.pdf |
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| author | Krstić Teodora Radulović Milovan Marić Nikolina Đuričin Aleksandar Jokšić-Zelić Milena Vasović Velibor Petrić Aleksandra Latinović Simeon Jokšić-Mazinjanin Radojka |
| author_facet | Krstić Teodora Radulović Milovan Marić Nikolina Đuričin Aleksandar Jokšić-Zelić Milena Vasović Velibor Petrić Aleksandra Latinović Simeon Jokšić-Mazinjanin Radojka |
| author_sort | Krstić Teodora |
| collection | DOAJ |
| description | Ventricular Tachycardia (VT) is defined as any rhythm with more than 120 beats per minute originating distally from the His bundle, in the ventricular myocardium, outside the actual conduction system, and represents a life-threatening arrhythmia. The treatment of VT is based on certain principles that depend on the hemodynamic stability of the patient. If the patient is hemodynamically unstable, electrical cardioversion should be initiated, and if the patient is hemodynamically stable, pharmacological therapy is applied. Case Report: An 80-year-old woman complains of shortness of breath and loss of consciousness. The patient is lying down, responds to verbal stimuli, with unmeasurable blood pressure and oxygen saturation in peripheral blood. Upon sitting up, she loses consciousness. The electrocardiogram (ECG) shows monomorphic ventricular tachycardia, with a frequency of approximately 230 beats per minute. Analgesosedation with midazolam and tramadol was administered, followed by three DC shocks. Sinus rhythm was established at a frequency of 110/min., and after the administration of 300 mg of amiodarone, the heart rate was 85/min., blood pressure was 75/45 mmHg, and SpO2 was 96%. The patient was admitted hemodynamically stable to the Coronary Care Unit of the Cardiology Department. Conclusion: Ventricular tachycardia (VT) is a serious emergency condition frequently encountered by emergency medical teams, and its recognition and prompt action are crucial for a successful outcome. Due to the wide range of clinical manifestations VT can cause, recognizing it as an urgent condition can be challenging, making the diagnosis sometimes difficult. Therefore, continuous education of emergency medical teams, adopting new guidelines, and updating existing protocols are of paramount importance to improve the quality of healthcare provided. |
| format | Article |
| id | doaj-art-75a4a48c53dc46458ece6f9c01a191d8 |
| institution | DOAJ |
| issn | 1451-1053 2560-3922 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Serbian Medical Society, Department of Emergency Medicine, Belgrade |
| record_format | Article |
| series | ABC: časopis urgentne medicine |
| spelling | doaj-art-75a4a48c53dc46458ece6f9c01a191d82025-08-20T03:07:28ZengSerbian Medical Society, Department of Emergency Medicine, BelgradeABC: časopis urgentne medicine1451-10532560-39222025-01-0125171110.5937/abc2501007K1451-10532501007KInitial treatment of a patient with ventricular tachycardia: Case reportKrstić Teodora0Radulović Milovan1Marić Nikolina2Đuričin Aleksandar3https://orcid.org/0000-0002-8473-4022Jokšić-Zelić Milena4Vasović Velibor5https://orcid.org/0000-0003-3974-5547Petrić Aleksandra6https://orcid.org/0000-0002-4124-4576Latinović Simeon7Jokšić-Mazinjanin Radojka8https://orcid.org/0000-0002-4436-336XZavod za urgentnu medicinu Novi Sad, SerbiaZavod za urgentnu medicinu Novi Sad, SerbiaZavod za urgentnu medicinu Novi Sad, SerbiaZavod za urgentnu medicinu Novi Sad, SerbiaDom zdravlja Bečej, Služba hitne medicinske pomoći, Bečej, SerbiaZavod za urgentnu medicinu Novi Sad, SerbiaInstitut za onkologiju Vojvodine, Sremska Kamenica, SerbiaInstitut za kardiovaskularne bolesti Vojvodine, Sremska Kamenica, SerbiaZavod za urgentnu medicinu Novi Sad, SerbiaVentricular Tachycardia (VT) is defined as any rhythm with more than 120 beats per minute originating distally from the His bundle, in the ventricular myocardium, outside the actual conduction system, and represents a life-threatening arrhythmia. The treatment of VT is based on certain principles that depend on the hemodynamic stability of the patient. If the patient is hemodynamically unstable, electrical cardioversion should be initiated, and if the patient is hemodynamically stable, pharmacological therapy is applied. Case Report: An 80-year-old woman complains of shortness of breath and loss of consciousness. The patient is lying down, responds to verbal stimuli, with unmeasurable blood pressure and oxygen saturation in peripheral blood. Upon sitting up, she loses consciousness. The electrocardiogram (ECG) shows monomorphic ventricular tachycardia, with a frequency of approximately 230 beats per minute. Analgesosedation with midazolam and tramadol was administered, followed by three DC shocks. Sinus rhythm was established at a frequency of 110/min., and after the administration of 300 mg of amiodarone, the heart rate was 85/min., blood pressure was 75/45 mmHg, and SpO2 was 96%. The patient was admitted hemodynamically stable to the Coronary Care Unit of the Cardiology Department. Conclusion: Ventricular tachycardia (VT) is a serious emergency condition frequently encountered by emergency medical teams, and its recognition and prompt action are crucial for a successful outcome. Due to the wide range of clinical manifestations VT can cause, recognizing it as an urgent condition can be challenging, making the diagnosis sometimes difficult. Therefore, continuous education of emergency medical teams, adopting new guidelines, and updating existing protocols are of paramount importance to improve the quality of healthcare provided.https://scindeks-clanci.ceon.rs/data/pdf/1451-1053/2025/1451-10532501007K.pdfventricular tachycardiahemodynamically unstable patientcardioversion |
| spellingShingle | Krstić Teodora Radulović Milovan Marić Nikolina Đuričin Aleksandar Jokšić-Zelić Milena Vasović Velibor Petrić Aleksandra Latinović Simeon Jokšić-Mazinjanin Radojka Initial treatment of a patient with ventricular tachycardia: Case report ABC: časopis urgentne medicine ventricular tachycardia hemodynamically unstable patient cardioversion |
| title | Initial treatment of a patient with ventricular tachycardia: Case report |
| title_full | Initial treatment of a patient with ventricular tachycardia: Case report |
| title_fullStr | Initial treatment of a patient with ventricular tachycardia: Case report |
| title_full_unstemmed | Initial treatment of a patient with ventricular tachycardia: Case report |
| title_short | Initial treatment of a patient with ventricular tachycardia: Case report |
| title_sort | initial treatment of a patient with ventricular tachycardia case report |
| topic | ventricular tachycardia hemodynamically unstable patient cardioversion |
| url | https://scindeks-clanci.ceon.rs/data/pdf/1451-1053/2025/1451-10532501007K.pdf |
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