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| A 37-year-old man was admitted to our hospital with recurrent palpitations. Physical examination revealed a blood pressure of 160/98 mm Hg and a heart rate of 150 beats/min, but no other abnormalities. An electrocardiogram showed ventricular tachycardia that, after an intravenous infusion of procain-amide, converted to sinus rhythm shown on the picture. An echocardiogram showed that the right side of the heart was dilated in the absence of intracardiac shunts and that there was impaired left ventricular function with regional wall-motion abnormalities. Cardiac catheterization, performed to exclude coronary artery disease, showed normal coronary arteries. | |
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