title: Bidirectional ventricular tachycardia with myocardial infarction: a case report with insight on mechanism and treatment.
abstract: Bidirectional ventricular tachycardia (BVT) is a rare variety of tachycardia with morphologically distinct presentation: The QRS axis and/or morphology is alternating in the frontal plane leads. Since its original description in association with digitalis,(1) numerous cases of this fascinating tachycardia with disparate etiologies and mechanisms have been postulated. We report a patient with BVT in association with non-ST elevation myocardial infarction and severe cardiomyopathy in the absence of digoxin toxicity.
authors.affiliation: Clinical Professor of Medicine, Wright State University Boonshoft School of Medicine, Dayton, OH, USA; Director, Electrophysiology Laboratories, Dayton Heart and Vascular Hospital at Good Samaritan Hospital, Dayton, OH, USA.
authors.forename: Abdul
authors.initials: A
authors.lastname: Wase
authors.affiliation: Hospitalist, Good Samaritan Hospital, Dayton, OH 45406, USA. Electronic address: mannan007@gmail.com.
authors.forename: Abdul-Mannan
authors.initials: AM
authors.lastname: Masood
authors.affiliation: Cardiology Fellow, Wright State University Boonshoft School of Medicine, Dayton, OH, USA.
authors.forename: Naga V
authors.initials: NV
authors.lastname: Garikipati
authors.affiliation: Cardiology Fellow, Wright State University Boonshoft School of Medicine, Dayton, OH, USA.
authors.forename: Omar
authors.initials: O
authors.lastname: Mufti
authors.affiliation: Attending Physician, Good Samaritan Heart and Vascular Hospital, Dayton, OH, USA.
authors.forename: Anwarul
authors.initials: A
authors.lastname: Kabir
mesh_terms: D009202:Cardiomyopathies / Q000150:complications* / Q000503:physiopathology; D017023:Coronary Angiography; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000503:physiopathology; D013610:Tachycardia / Q000209:etiology* / Q000503:physiopathology
keywords: Arrhythmia; Bidirectional ventricular tachycardia; Cardiac arrest; Ventricular arrhythmia; Ventricular tachycardia