title: Idiopathic polymorphic ventricular tachycardia with normal QT interval in a structurally normal heart.
abstract: Polymorphic ventricular tachycardia (PVT) is a life-threatening arrhythmia that is typically related to long QT syndrome, organic heart disease, electrolyte abnormalities, cardiotoxic drugs, or adrenergic stimulation. A review of the literature reveals that PVT with normal QT interval and without underlying cause is quite rare. We report a case of idiopathic spontaneous PVT with structurally normal heart and without electrolyte abnormalities, drug reactions, or evidence of catecholamine induced arrhythmia. We also review the literature on the electrocardiographic characteristics and management of idiopathic PVT.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, James H. Quillen College of Medicine, East Tennessee State University, James H. Quillen VAMC, Johnson City, TN, USA. b_mechleb@hotmail.com
authors.forename: Bassam K
authors.initials: BK
authors.lastname: Mechleb
authors.forename: Tariq Z
authors.initials: TZ
authors.lastname: Haddadin
authors.forename: Said B
authors.initials: SB
authors.lastname: Iskandar
authors.forename: Lucien N
authors.initials: LN
authors.lastname: Abboud
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Fahrig
mesh_terms: D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D017147:Defibrillators, Implantable; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008790:Metoprolol / Q000627:therapeutic use; D008875:Middle Aged; D017180:Tachycardia, Ventricular / Q000175:diagnosis* / Q000503:physiopathology* / Q000628:therapy; D014549:Urinary Incontinence
chemical_list: D000889:Anti-Arrhythmia Agents; D008790:Metoprolol