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They had a history of non-ischemic cardiomyopathy (EF 30%), as well as PCI with one stent. Although the emergency physician (along with an APRN and an RN) had not seen any alterations in the rhythm after adenosine was pushed, a paper recording of the episode was subsequently unearthed. A surprise clue!
This was stented. There is atrialfibrillation. If hypokalemia is present in patients receiving thiazides who have had an acute myocardial infarction, it should be corrected so as to remove this predisposing cause of ventricular fibrillation. The patient stabilized. mEq/L: The STE is resolved. 1987;147(3):465-469.
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