Incessant Nonsustained Ventricular Tachycardia Unmasking Pulmonary Embolism

Area of Science:

• Cardiology
• Pulmonology
• Emergency Medicine

Background:

• Ventricular tachycardia (VT) is a dangerous heart rhythm requiring urgent care.
• Ischemic heart disease is a common cause of VT, but other etiologies exist.

Observation:

• A patient presented with VT from the right ventricular outflow tract (RVOT), progressing to electrical storm.
• Computed tomography revealed bilateral acute pulmonary embolism (PE) as the underlying cause.

Findings:

• Treatment of acute pulmonary embolism led to resolution of VT and electrical storm.
• The patient experienced favorable progress without further arrhythmias after PE treatment.

Implications:

• This case underscores the necessity of including PE in the differential diagnosis for VT.
• Early PE detection and treatment are vital for managing VT and improving prognosis.