The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2009;77(5):1157-1161.
임시형 심박조율기 삽입 후 발생한 조율 허용성 다형 심실빈맥 1예
박재영·곽성동·임주견·정재식·천재홍·최성열·정준훈, , , , , ,
A case of pacing-permitted polymorphic ventricular tachycardia after insertion of a temporary pacemaker
Jae Young Park, Seong Dong Kwak, Ju Kyeon Yim, Jae Shik Jeong, Jae Hong Chun, Sung Yeol Choi, Joon Hoon Jeong


Abstract
A 74-year-old man was admitted with sudden-onset chest pain. Electrocardiography showed ST segment elevation in leads II, III, and aVF; in addition, the levels of several cardiac enzymes were elevated. The patient received a VVI temporary pacemaker due to bradycardia (45 beats/min) and was subjected to primary percutaneous coronary intervention. After percutaneous coronary intervention for the RCA infarction, the patient was admitted to the coronary care unit. Six hours later, polymorphic ventricular tachycardia occurred following a short-long-short sequence. This is the first case of temporary pacemaker-permitted ventricular tachycardia in Korea. Here we present a case of pacemaker-permitted polymorphic ventricular tachycardia in a patient with inferior acute myocardial infarction. (Korean J Med 77:S1157-S1161, 2009)

Keywords :Pacemaker, artificial, Tachycardia, ventricular
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