case_images: PMC10874132_01
case_images: The ECG on presentation. Monomorphic ventricular tachycardia with rates in the 200s
case_images: cureus-0016-00000052494-i01.jpg
case_images: PMC10874132_01_cureus-0016-00000052494-i01.jpg
case_images: FIG1
case_images: On presentation, he was hypotensive (82/69 mmHg), tachycardic (211 beats/min), and tachypneic (30 breaths/min), with electrocardiogram findings of monomorphic ventricular tachycardia and a heart rate in the 200s (Figure 1).
case_images: The ECG after cardioversion. Sinus rhythm with the right bundle branch block
case_images: cureus-0016-00000052494-i02.jpg
case_images: PMC10874132_01_cureus-0016-00000052494-i02.jpg
case_images: FIG2
case_images: Transthoracic echocardiogram. The blue arrow points to a large thrombus at the apex of the left ventricle.
case_images: cureus-0016-00000052494-i03.jpg
case_images: PMC10874132_01_cureus-0016-00000052494-i03.jpg
case_images: FIG3
case_images: Left cardiac catheterization. There is a discrete 100% proximal lesion in the left anterior descending artery (LAD) and collateral flow from LAD to LAD. Otherwise, there is no angiographically significant disease.. RCA: right coronary artery; LMCA: left main coronary artery; OM: obtuse marginal; LAD: left anterior descending artery; PDA: patent ductus arteriosus; RPL: right posterolateral. Figure credit: Orabueze Ijeoma
case_images: cureus-0016-00000052494-i04.jpg
case_images: PMC10874132_01_cureus-0016-00000052494-i04.jpg
case_images: FIG4