title: Ventricular Tachycardia or not? An Unexpected Reason of Wide QRS Complex Tachycardia in a Young Healthy Man: Sodium Bicarbonate.
abstract: Ventricular tachycardia (VT) is life-threatening subgroup of wide QRS complex tachycardia (WCT). VT is usually associated with structural heart diseases, but it can occur in the absence of any cardiovascular diseases. Adverse cardiac effect of sodium bicarbonate in healthy subjects is not well described. A 30-year-old healthy man with excessive intake of sodium bicarbonate-related VT is presented. He was using sodium bicarbonate during last 2 months to lose weight. He has no risk factors and any cardiovascular or systemic diseases. After intravenous administration of amiodarone, tachycardia ended and his rhythm converted to sinus rhythm with normal electrocardiogram. Patient is asymptomatic, and no VT was observed without any medications at 1 year of follow-up.
authors.affiliation: Department of Cardiology, Special Izmir Avrupa Medicine Center, Karabaglar, 35170, Izmir, Turkey. mhmtybgl@gmail.com.
authors.forename: Mehmet
authors.identifier: http://orcid.org/0000-0002-5754-9382
authors.initials: M
authors.lastname: Eyuboglu
mesh_terms: D000200:Action Potentials / Q000187:drug effects; D000328:Adult; D019440:Anti-Obesity Agents / Q000009:adverse effects*; D004562:Electrocardiography; D006329:Heart Conduction System / Q000187:drug effects* / Q000503:physiopathology; D006339:Heart Rate / Q000187:drug effects*; D006801:Humans; D008297:Male; D017693:Sodium Bicarbonate / Q000009:adverse effects*; D017180:Tachycardia, Ventricular / Q000139:chemically induced* / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D016896:Treatment Outcome
chemical_list: D019440:Anti-Obesity Agents; D017693:Sodium Bicarbonate
keywords: Electrocardiography; Sodium bicarbonate; Ventricular tachycardia