Ventricular tachycardia as a manifestation of acute myocardial infarction, a case report

Abstract

Case presentation. We present the case of a 47-year-old male patient with a medical history of chronic arterial hypertension and type 2 diabetes mellitus, who presented with a history of palpitations of progressive frequency and duration, accompanied by dyspnea unrelated to exertion, for which, he went to the hospital, where paroxysmal ventricular tachycardia was evident, as a manifestation of an acute myocardial infarction without ST segment elevation. Treatment. Hospital management was based fundamentally on cabinet and laboratory findings. Pharmacological treatment was provided with amiodarone and dobutamine due to signs of low cardiac output, besides statins, and acetylsalicylic acid as secondary prevention, as well as percutaneous coronary intervention, with stent placement in the anterior descending artery. Outcome. After coronary intervention and with pharmacological management, the patient presented a notable clinical improvement, without palpitations or dyspnea.