29 July 2022>: Articles
Systemic Brucellosis with Arrhythmogenic Cardiac Inflammatory Pseudotumor
Challenging differential diagnosis, Unusual or unexpected effect of treatment, Rare coexistence of disease or pathology
Krzysztof Kaczmarek A* , Romuald Wojnicz C , Paweł Ptaszyński B , Jerzy Krzysztof Wranicz B , Iwona Cygankiewicz BDOI: 10.12659/AJCR.935259
Am J Case Rep 2022; 23:e935259
Figure 1. 12-lead electrocardiogram during ventricular tachycardia. A clinical electrophysiologist noticed that the arrhythmia did not have the typical morphology for idiopathic left ventricular tachycardia (more precisely, left posterior fascicular ventricular tachycardia) mainly due to inconsistent R-wave amplitude differences between adjacent leads (ie, amplitudes in leads: V1 – low, V2 – high, V3 – low, V4 – residual, V5- high). Such a pattern might suggest scar-dependent ventricular tachycardia, but this requires confirmation.