Case 9-1992

Richard C. Cabot, Robert E. Scully, Eugene J. Mark, William F. Mcneely, Betty U. Mcneely, M. J. Semigran, J. T. Fallon

Research output: Contribution to journalArticlepeer-review


Presentation of Case A 65-year-old woman was admitted to the hospital for electrophysiologic studies because of ventricular tachycardia. There was a long history of a bipolar affective disorder that was managed with haloperidol and benztropine. The patient was well in other respects until 10 days earlier, when vomiting and diarrhea developed in her and several of her relatives. Four days later the patient entered another hospital because of increasing fatigue, dyspnea, and epigastric pain. On physical examination the blood pressure was 87/54 mm Hg and the heart rate was 220. An electrocardiogram showed a wide-complex tachyarrhythmia with a morphologic pattern.

Original languageEnglish
Pages (from-to)624-633
Number of pages10
JournalNew England Journal of Medicine
Issue number9
StatePublished - 27 Feb 1992


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