Serotonin Syndrome Masquerading as Ventricular Tachycardia Storm

A 60-year-old woman with bipolar disorder presented to a local hospital after being found unresponsive at home. When assessed by emergency medical services, she was found to be tachycardic to 180 beats per minute and received three doses of adenosine on transport with no effect. Given concern for altered mental status, she was intubated for airway protection. In the emergency department, the patient's rhythm was described as a wide complex tachycardia and she was found to be hypotensive leading to multiple attempted cardioversions at 100 Joule, 200 Joule and 360 Joule (twice).
Source: The American Journal of Medicine - Category: General Medicine Authors: Tags: Clinical Communication to the Editor Source Type: research