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Case Reports
. 2020 May;20(3):e15-e17.
doi: 10.7861/clinmed.2020-0046.

Atypical presentation of ventricular tachycardia

Farhan Malik  1 , ThinThin Khaing  2 , Sanjay Adlakha  2 , Thandar Aye  2
Affiliations
Case Reports

Atypical presentation of ventricular tachycardia

Farhan Malik et al. Clin Med (Lond). 2020 May.

Abstract

Cardiac syncope and epileptic seizure are two very similar presentations and difficult to differentiate without a proper history, physical examination and investigations. In a former study, 10 out of 22 episodes of induced ventricular tachycardia or fibrillation can result in stereotypical tonic-clonic movement with varied electroencephalography changes. We present a case which was diagnosed as ventricular tachycardia from seizure-like attack. It is to emphasise the importance of including ventricular tachycardia among other differential diagnoses of seizure-like activity in a patient with cardiovascular risks.

Keywords: Ventricular tachycardia; cardiac syncope; epileptic seizure.

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Figures

Fig 1.
Fig 1.
Telemetry showing ventricular tachycardia.
Fig 2.
Fig 2.
Coronary angiography. a) Left anterior-oblique view showing chronic total occlusion of proximal right coronary artery. b) Posterior-anterior cranial view showing severe left main stem stenosis (mild mid-left anterior descending disease). c) Posterior-anterior caudal view of severe left main stem stenosis and moderate obtuse marginal artery disease.
See this image and copyright information in PMC

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