Use of sympathomimetic nasal spray in association with cardiac fibroma: an unusual cause of ventricular tachycardia.
A patient prescribed oxymetazoline hydrochloride nasal drops presented with recurrent ventricular tachycardia of fascicular origin. Cardiac ultrasound showed a calcified lesion, presumably a fibroma arising from the interventricular septum. Fascicular tachycardia related to the lesion and provoked by the use of a sympathomimetic agent is postulated.
Khan
A
A
Department of Cardiology, Torbay Hospital, Devon.
Dewhurst
N
N
D000328:Adult; D004562:Electrocardiography; D005350:Fibroma / Q000150:complications* / Q000000981:diagnostic imaging; D006338:Heart Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging; D006346:Heart Septum; D006801:Humans; D008297:Male; D010109:Oxymetazoline / Q000009:adverse effects*; D013566:Sympathomimetics / Q000009:adverse effects*; D017180:Tachycardia, Ventricular / Q000209:etiology*; D014463:Ultrasonography
D013566:Sympathomimetics; D010109:Oxymetazoline