A 60 year old man, who is a known case of LV Aneurysm post MI in 2017, presents with recurrent episodes of syncope. Today after having a strong coffee he developed syncope and was rushed to the hospital. What is the best way to prevent such episodes from developing again?
Correct Answer: Implantable Cardioveer defibrillator
Description: The ECG shows hea rate of 300/min with broad complex tachycardia. Axis is indeterminate. This indicates a monomorphic Ventricular Tachycardia. In acute setting DC shock 200J Biphasic should be given. However recurrence of VT episodes can occur due to structural damage in form of LV aneurysm. Hence Implantable cardioveer defibrillator is the best method to prevent recurrent VT episodes Catheter ablation is done for idiopathic monomorphic VT.
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