Ventricular Tachycardia in Anteroseptal STEMI

Case Report

Authors

  • Luzelia Marta Sequeira Saldanha Medical Doctor at Leona Kefamenanu Hospital, Timor Tengah Utara, East Nusa Tenggara, Indonesia

DOI:

https://doi.org/10.55175/cdk.v52i8.1345

Keywords:

STEMI, sudden cardiac death, ventricular tachycardia

Abstract

Introduction: Fatal ventricular tachyarrhythmias such as ventricular tachycardia (VT) or ventricular fibrillation (VF) are the most frequent cause of sudden cardiac death. In-hospital mortality of VT in STEMI was a 4- to 5-fold increase compared to STEMI without ventricular tachyarrhythmia; VT and VF were also initially thought to be the most common causes of out-of-hospital cardiac arrest. Late VT (occurs beyond 24-48 hours of STEMI onset) is a predictor for worse prognosis. Case: A 49-year-old female presented with continuous chest pain for 5 days and a rapid heartbeat (palpitation) for 4 days before hospital admission. Initial examination revealed VT and ST elevation on ECG, leading to a diagnosis of anteroseptal STEMI with VT. Treatment included aspirin, clopidogrel, heparin, isosorbide dinitrate, bisoprolol, and simvastatin. The VT resolved about 2 hours after the initial treatment, and the evolution of STEMI (on ECG) was observed. Conclusion: Early recognition and prompt treatment for VT patients can prevent hemodynamic instability and reduce mortality.

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Published

08-08-2025

How to Cite

Sequeira Saldanha, L. M. (2025). Ventricular Tachycardia in Anteroseptal STEMI: Case Report. Cermin Dunia Kedokteran, 52(8), 531–536. https://doi.org/10.55175/cdk.v52i8.1345