Bidirectional ventricular tachycardia induced by respiratory alkalosis mediated hypokalemia in a patient with acute ischemic heart failure

• DOI: 10.1111/pace.14337
• Publication Date: 2021-08-13T07:24:50Z
• Authors: Seyhmus Kulahcioglu; Pınar Karaca Baysal; Ayhan Kup; Elmin Imanov; Abdulkadir Uslu; Serdar Demir; Kamil Gulsen
• Keywords: Respiratory alkalosis; Refractory (planetary science); Alkalosis

Bidirectional ventricular tachycardia (BVT) is a rare arrhythmia that generally observed in patients with catecholaminergic or digoxin overdose. Herein, we present case of BVT and electrical storm (ES) an acute ischemic heart failure patient typically induced by hypokalemia. The was invasive mechanical ventilator (MV) support hypokalemia related to respiratory alkalosis caused refractory despite intravenous (IV) potassium replacement. We also discuss our approach solve alkalosis.