We present a case who developed an acute right ventricular infarction. The leads demonstrating ST-segment elevation were different than those expected based on previous publications. We explain why this happened with the aid of 3-dimentional imaging.

Our case then developed an arrhythmic storm caused by ischemic ventricular fibrillation (VF). Emergency revascularization failed and the VF-storm failed to respond to sedation, lidocaine and amiodarone but responded to intravenous quinidine.

中文翻译：

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静脉奎尼丁治疗缺血性室颤引起的心律失常风暴

我们介绍了一个发生急性右心室梗塞的病例。显示 ST 段抬高的导联不同于基于先前出版物的预期导联。我们在 3 维成像的帮助下解释了为什么会发生这种情况。

我们的病例随后发生了由缺血性心室颤动 (VF) 引起的心律失常风暴。紧急血运重建失败，VF 风暴对镇静、利多卡因和胺碘酮没有反应，但对静脉注射奎尼丁有反应。