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- Title
Fatal monomorphic ventricular tachycardia in a semi-urban setting in Cameroon: a case report.
- Authors
Nkoke, Clovis; Bain Luchuo, Engelbert; Dikoume, Laetitia
- Abstract
Background: Ventricular tachycardia is a life threatening cardiac arrhythmia. It needs management with defibrillation, without which, immediate death may occur. Case presentation: A 66 year old black African patient with a 2 year history of hypertension was admitted to the emergency department of the Buea Regional hospital, a semi-urban setting in Cameroon, after presenting with syncope while in church. The wife described a similar episode 2 weeks prior without any further evaluation. Upon arrival at the emergency, patient had regained consciousness but lethargic, tachypneic and diaphoretic. The blood pressure was 85/61 mmHg; the pulse was 219/min, weak and thready. He had cold extremities. A 12 lead electrocardiogram performed showed a sustained monomorphic ventricular tachycardia at 230/min. He was administered six tablets of amiodarone, oxygen by nasal cannula and intravenous fluids. No electrical cardioversion was attempted due to the non availability of a defibrillator. Outcome was fatal with death of the patient 30 min after his arrival to the emergency. Conclusion: Our health facilities should be well equipped for resuscitative measures by adopting Advanced Cardiac Life Support as cardiovascular diseases are becoming more frequent in our settings.
- Subjects
ELECTRIC countershock; ARRHYTHMIA; HEART diseases; HEMODYNAMICS
- Publication
BMC Research Notes, 2017, Vol 10, p1
- ISSN
1756-0500
- Publication type
Article
- DOI
10.1186/s13104-017-2501-4