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Ventricular aneurysm and ventricular septal defect after myocardial infarction
  1. Neha J Patel1,
  2. Alan Mundakkal2,
  3. Jessica Elrod-Gombash2,
  4. Khalid Changal3
  1. 1Internal Medicine, The University of Toledo Medical Center, Toledo, Ohio, USA
  2. 2Emergency Medicine, The University of Toledo Medical Center, Toledo, Ohio, USA
  3. 3Cardiology, The University of Toledo Medical Center, Toledo, Ohio, USA
  1. Correspondence to Dr Neha J Patel, Internal Medicine, The University of Toledo Medical Center, Toledo, OH 43614, USA; neha.patel{at}utoledo.edu

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Case presentation

A 53-year-old man presented with shortness of breath for 10 days. Due to the ongoing COVID-19 pandemic, he delayed seeking medical attention. ECG showed sustained monomorphic ventricular tachycardia (figure 1A). He converted to normal sinus rhythm with intravenous lidocaine. A holosystolic murmur was heard on auscultation of precordium. Repeat ECG showed ST-segment elevation in inferior leads (figure 1B). Serum troponin was 0.09 ng/mL (normal 0.00–0.04 ng/mL).

Figure 1

(A) Initial EKG showing monomorphic ventricular tachycardia. (B) EKG after cardioversion showing sinus rhythm and persistent ST elevation in inferior leads.

A transesophageal echocardiogram showed left ventricular (LV) ejection fraction of …

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Footnotes

  • Contributors NJP helped prepare images and write/edit manuscript; AM and JE-G helped write/edit manuscript; KC helped obtain and read images and finalise manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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