PMC5412622_01
Monomorphic ventricular tachycardia on presentation.
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He was found to have hemodynamically compromising refractory ventricular tachycardia (Figure 1), which necessitated more than 10 episodes of cardioversion with intravenous lignocaine before the tachyarrhythmia ceased.
Midsegment short-axis steady-state free precession (SSFP) view of A: the patient's heart revealed that both the heart (dashed white arrow) and the liver (bold white arrow) have low signal intensity compared with that of B: a normal control.
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T2* value of 1.4 milliseconds, which is consistent with severe liver iron loading (Figure 2). The right ventricle systolic function and morphology were normal, with no demonstrable aneurysmal, akinetic, or dyskinetic segments to suggest a right ventricular cardiomyopathy.