PMC7725577_01
EKG showing right ventricular outflow tract ventricular tachycardia with left bundle branch pattern and inferior axis pattern.
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fig1
After reaching the emergency room, his symptoms returned, and he was found to be in a monomorphic wide-complex tachycardia at a ventricular rate of 240 beats per minute (Figure 1) and was saturating at 89% at room air.
EKG showing normal sinus rhythm.
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fig2
He was started on IV amiodarone 150 mg over 10 minutes and was continued on a drip with a rate on 1 mg/min, which resolved the arrhythmia after the initial bolus (Figure 2).