Recurrent polymorphic ventricular tachycardia: The real thing or a soapy explanation?

摘要

A 51 -YEAR-OLD, 144.4-1b, 168-cm man was admitted to the authors' hospital for the treatment of bilateral breast periductal mastitis with fistulas and a right breast abscess. The patient had been homeless until very recently and did not receive routine medical care as a result. He chronically abused tobacco and alcohol, but he denied any major medical sequelae from these activities. He reported a family history of coronary artery disease, but his cardiovascular review of systems was unremarkable. The cardiac and pul-monary physical examinations were noncontributory. A laboratory analysis, including a serum potassium concentration, was normal. A preoperative electrocardiogram showed sinus bradycardia (heart rate of 58 beats/min) with a sinus arrhythmia, but no other abnormalities were present.