July 2012 pulmonary case of the month: pulmonary infiltrates - getting to the heart of the problem

• Main Authors: Ronan B, Viggiano R, Wesselius LJ
• Format: Article
• Language: English
• Published: Arizona Thoracic Society 2012-07-01
• Series: Southwest Journal of Pulmonary and Critical Care
• Subjects: amiodarone lung toxicity; pneumonia; pulmonary edema; venticular tachycardia
• Online Access: http://www.swjpcc.com/pulmonary/2012/7/1/july-2012-pulmonary-case-of-the-month-pulmonary-infiltrates.html?SSScrollPosition=174

No abstract available. Article truncated at 150 words. History of Present IllnessA 63 year old man was transferred from outside facility with ventricular tachycardia. He has a past history of ventricular tachycardia and had an intracardiac defibrillator (ICD) placed due to a low ejection fraction. The ICD had administered several shocks to the patient prior to admission. His present medications included: •Lisinopril 10 mg bid •Diazepam 10 mg bid •Amiodarone 400 mg daily •Dutasteride 0.5 mg daily •Tamsulosin 0.4 mg daily •Dexlansoprazole 60 mg daily •Levothyroxine 100 mcg daily The patient underwent and electrophysiology (EP) procedure. He was intubated prior to the procedure. He developed sustained ventricular tachycardia when the ICD was turned off. Eleven cardioversions were required with an accumulated 108 seconds of ventricular tachycardia. He became hypotensive and received 6.2 L boluses of fluids and 5, 400 mg boluses of amiodarone and was placed on an amiodarone drip...