title: Arrhythmogenic Munchausen syndrome culminating in caffeine-induced ventricular tachycardia.
abstract: We report a patient with numerous abnormal electrocardiograms (ECGs) in both inpatient and outpatient settings. Our patient both simulated and stimulated her arrhythmias with an ECG rhythm generator and intentional caffeine intoxication. To our knowledge, this is the first report of caffeine overdose for arrhythmogenesis.
authors.affiliation: Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN, USA. joseph.c.vaglio@vanderbilt.edu
authors.forename: Joseph C
authors.initials: JC
authors.lastname: Vaglio
authors.forename: John A
authors.initials: JA
authors.lastname: Schoenhard
authors.forename: Pablo J
authors.initials: PJ
authors.lastname: Saavedra
authors.forename: Saralyn R
authors.initials: SR
authors.lastname: Williams
authors.forename: Satish R
authors.initials: SR
authors.lastname: Raj
mesh_terms: D000328:Adult; D002110:Caffeine / Q000633:toxicity*; D000697:Central Nervous System Stimulants / Q000633:toxicity; D005260:Female; D006801:Humans; D009110:Munchausen Syndrome / Q000139:chemically induced* / Q000175:diagnosis*; D017180:Tachycardia, Ventricular / Q000139:chemically induced* / Q000175:diagnosis*
chemical_list: D000697:Central Nervous System Stimulants; D002110:Caffeine