Arrhythmogenic Munchausen syndrome culminating in caffeine-induced ventricular tachycardia.
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.
Vaglio
Joseph C
JC
Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN, USA. joseph.c.vaglio@vanderbilt.edu
Schoenhard
John A
JA
Saavedra
Pablo J
PJ
Williams
Saralyn R
SR
Raj
Satish R
SR
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*
D000697:Central Nervous System Stimulants; D002110:Caffeine