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26M with recurrent fast palpitations since 15 years

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Title: Refractory Suspected Fascicular Ventricular Tachycardia Complicated by Cardiogenic Shock and Cardiac Arrest in a Non-Compliant Young Adult: A Case Report Abstract Fascicular ventricular tachycardia (VT), often an idiopathic left ventricular tachycardia (ILVT), is typically a benign arrhythmia responsive to calcium channel blockers. However, prolonged untreated episodes can lead to severe hemodynamic compromise and tachycardia-induced cardiomyopathy. We present the case of a 26-year-old male with a long-standing, inadequately managed history of suspected fascicular VT who presented with hemodynamic instability. Despite sequential pharmacological and electrical cardioversion attempts, the patient rapidly deteriorated into cardiac arrest requiring cardiopulmonary resuscitation (CPR) before achieving the return of spontaneous circulation (ROSC). Introduction Idiopathic left ventricular tachycardia, commonly known as fascicular VT, generally occurs in young, structurally normal heart...
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59F with 1 week history of fast palpitations and giddiness

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 56 F presented with c/o fast palpitations associted with giddiness and sob on exertion since 1 week  on arraival serial ecgs with intervention.  below ecg is after 6 and 12 mg adenosine  not reverted to sinus rhythm with adenosine 12mg patient was started on cardarone infusion  no much change in rhythm and developed tacchycardia wih frequent long pauses.  in view of hypotension with long pauses, emergency TPI was done along with CAG.  next day rhythm reverted to sinus and TPI was removed. 
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47 F recurrent ADHF with inflammatory myocarditis

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Age / Sex: 47-year-old female Comorbidities: Type 2 Diabetes Mellitus Late July / August 2025 (Initial Presentation) Chief Complaints: Giddiness, a single episode of transient loss of consciousness (LOC) lasting approximately 2 minutes, and one episode of vomiting. Pre-Hospital Course: Evaluated at an outside facility where she received an acute coronary syndrome (ACS) loading dose consisting of Acetylsalicylic Acid (Ecosprin) 325 mg, Clopidogrel (Clopitab), and Atorvastatin (Atorva) 80 mg prior to transfer. Emergency Department Presentation: The patient demonstrated profound bradycardia with a pulse rate of 40 bpm and initial hypotension measuring 100/60 mmHg, necessitating immediate inotropic and supplemental oxygen support. Following initial stabilization, vitals normalized to a blood pressure of 130/70 mmHg, respiratory rate of 20/min, and an $SpO_2$ of 98% on room air. Physical Examination: Systemic evaluation revealed adequate bilateral air entry, normal S1/S2 heart sounds ...
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