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Recognition of distinct arrhythmia syndromes over the last 3 decades, such as long QT syndrome, Brugada syndrome, catecholaminergic polymorphic ventricular tachycardia, and early repolarization (ER) syndrome (ERS), has changed this field, and the diagnosis of IVF has substantially decreased.1
Since its identification in 1981 its diagnosis has increased due to the advancements in cardiac imaging. It’s association with ventricular arrythmia (VA) and suddencardiacdeath (SCD) underscores the importance of its identification. Electrocardiogram (ECG) showed sustained monomorphic VT at a rate of 160 bpm.
Otherwise vitals after intubation were only notable for tachycardia. An initial EKG was obtained: Computer read: sinus tachycardia, early acute anterior infarct. Induced Brugada-type electrocardiogram, a sign for imminent malignant arrhythmias. A rectal temperature was obtained which read 107.9 Heart Rhythm, 13(7): 1515-1520. [2]:
There is sinus tachycardia and also a large R-wave in aVR. Drug toxicity , especially diphenhydramine , which has sodium channel blocking effects, and also anticholinergic effects which may result in sinus tachycardia, hyperthermia, delirium, and dry skin. Her temperature was 106 degrees. As part of the workup, she underwent an ECG.
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