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Emergency casebook
Spotting the complex tachycardia
  1. Ahmed Mahdi1,
  2. Simon Anderson1,2,
  3. Simon Carley1,
  4. Vaikom Mahadevan1
  1. 1Manchester Royal Infirmary, Manchester, United Kingdom
  2. 2Cardiovascular Sciences Research Group, University of Manchester, Manchester, UK
  1. Correspondence to Dr Ahmed Mahdi, Penthouse 1, 1 Derby Range, Heaton Moor SK4 4AB, UK; ahmed.mahdi{at}doctors.net.uk

Abstract

A young man presented to the emergency department with ventricular tachyarrhythmia later attributed to varicella zoster myocarditis. Myocarditis has an unpredictable clinical sequelae, making it a difficult condition to diagnose and manage in the emergency setting. The inconsistent clinical presentations, risks and management are demonstrated through a review of the literature.

  • arrhythmia
  • chickenpox
  • diagnosis
  • myocarditis
  • varicella zoster

https://doi.org/10.1136/emj.2009.075622

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    Footnotes

      fn-1

    • Competing interests None.

      • fn-2

    • Patient consent Obtained.

      • fn-3

    • Provenance and peer review Not commissioned; not externally peer reviewed.