Abstract

Although improvements in the treatment of thalassemia with transfusion and chelation therapy have been achieved, iron overload because of repeated red blood cell transfusions continue to cause organ dysfunction. The prognosis is determined by the degree of involvement of heart disease, mortality in these patients is mainly because of heart failure.1 In this case, cardiac hemosiderosis due to thalassemia and admitted to our Emergency Room with ventricular tachycardia with hemodynamic disrupts, then have implantable cardioverter defibrillator (ICD), 30-year-old male patient is presented. This is the first report among the thalassemia patients, presented with ventricular tachycardia based on literature search.

Highlights

  • Improvements in the treatment of thalassemia with transfusion and chelation therapy have been achieved, iron overload because of repeated red blood cell transfusions continue to cause organ dysfunction

  • Thirty-year-old male patient, who followed with a diagnosis of β-thalassemia major, was admitted to the emergency room with palpitations and chest tightness before half an hour

  • The patient was taken to control ventricular arrhythmias with amiodarone, implantable cardioverter defibrillator (ICD) implantation was performed for the purpose of secondary prevention

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Summary

Introduction

Improvements in the treatment of thalassemia with transfusion and chelation therapy have been achieved, iron overload because of repeated red blood cell transfusions continue to cause organ dysfunction. 15th minute of infusion, the patient became hypotensive and hemodynamically unstable, lost consciousness, pulseless ventricular tachycardia (VT) were defibrillated with 200 joules and sinus rhythm was achieved (Fig. 2). The patient was taken to control ventricular arrhythmias with amiodarone, ICD implantation was performed for the purpose of secondary prevention.

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Conclusion
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