The CardioNerds Explore A Curious Case of Refractory Ventricular Tachycardia

CardioNerds members Drs. Colin Blumenthal and Saahil Jumkhawala are joined by Drs. Rohan Ganti, Nikita Mishra, and Jorge Naranjo from the Rutgers – Robert Wood Johnson, to discuss the following case involving a patient with ventricular tachycardia:

A 61-year-old man with a medical history of hypothyroidism, hypertension, hyperlipidemia, seizure disorder on anti-epileptic medications, and major depressive disorder, presented to the ER following an out-of-hospital cardiac arrest. During hospitalization, he experienced refractory polymorphic ventricular tachycardia (VT), requiring 18 defibrillation shocks. Further evaluation revealed non-obstructive hypertrophic cardiomyopathy (HCM). In this podcast episode, the CardioNerds, with expert commentary from Dr. Sabahat Bokhari,  review the initial management of electrical storm, special ECG considerations, diagnostic approaches once ischemia has been excluded, medications implicated in polymorphic VT, the role of multi-modality imaging in diagnosing hypertrophic cardiomyopathy, and risk stratification for implantable cardioverter-defibrillator (ICD) placement in patients with HCM.

This podcast episode originally appeared on the The CardioNerds.