A Visual Resolution of Cardiotoxicity: A Case Report of Digoxin-Induced Bidirectional Ventricular Tachycardia

Digoxin is rarely used in modern cardiovascular disease management. Therefore, digoxin toxicity has been infrequently encountered and it paramount to diagnose a timely fashion. Bidirectional ventricular tachycardia an unusual arrhythmia wherein every other beat different QRS axis as travels alternately down conduction pathways. The can be manifestation of myocarditis, myocardial infarct, Andersen-Tawil syndrome, arrhythmogenic right cardiomyopathy, catecholaminergic polymorphic tachycardia, herbal aconite poisoning, toxicity. This case illustrates the importance clinician awareness rare electrocardiogram (EKG) patterns visual resolution fatal with treatment.