case_images: PMC6556359_01
case_images: Normal sinus rhythm, ST elevation, and Q waves in leads V1, V2, V3, V4, V5, and V6.
case_images: CRIC2019-6592927.001.jpg
case_images: PMC6556359_01_CRIC2019-6592927.001.jpg
case_images: fig1
case_images: ECG showed normal sinus rhythm and ST elevation in leads V1 to V6 with deep Q waves in the same leads (Figure 1).
case_images: Ventricular tachycardia.
case_images: CRIC2019-6592927.002.jpg
case_images: PMC6556359_01_CRIC2019-6592927.002.jpg
case_images: fig2
case_images: Then, 2 hours later, he was found unresponsive with pulseless ventricular tachycardia, and after a single DC shock, he regained his consciousness and his sinus rhythm again (Figure 2).
case_images: Multiple PVCs and NSVT.
case_images: CRIC2019-6592927.003.jpg
case_images: PMC6556359_01_CRIC2019-6592927.003.jpg
case_images: fig3
case_images: The next morning, he developed asymptomatic sustained ventricular tachycardia that reverted spontaneously to sinus rhythm; then, the telemetry showed multiple premature ventricular complexes (PVCs) and nonsustained ventricular tachycardia (NSVT) (Figure 3).
case_images: Ventricular tachycardia.
case_images: CRIC2019-6592927.004.jpg
case_images: PMC6556359_01_CRIC2019-6592927.004.jpg
case_images: fig4
case_images: In the evening, he had ventricular tachycardia (Figure 4) with hypotension, so the situation required the suppression of the arrhythmia by a DC shock, endotracheal intubation, and sedation (midazolam 0.1 mg/kg/hour).
case_images: Ventricular tachycardia preceded by PVCs.
case_images: CRIC2019-6592927.005.jpg
case_images: PMC6556359_01_CRIC2019-6592927.005.jpg
case_images: fig5
case_images: The next day, clusters of ventricular tachycardia triggered by ventricular premature contractions occurred (Figure 5) and required multiple electrical defibrillations.
case_images: Ventricular paced rhythm at rate of 100.
case_images: CRIC2019-6592927.006.jpg
case_images: PMC6556359_01_CRIC2019-6592927.006.jpg
case_images: fig6
case_images: Sinus rhythm after pacemaker removal.
case_images: CRIC2019-6592927.007.jpg
case_images: PMC6556359_01_CRIC2019-6592927.007.jpg
case_images: fig7
case_images: After another 24 hours of stable rhythm, the pacemaker was removed and close observation showed no any ventricular arrhythmias (Figure 7).