Ventricular tachycardia causes

Ventricular tachycardia Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Avirup Guha, M.B.B.S.[2]; Mugilan Poongkunran M.B.B.S [3]

Overview

Ischemic heart disease is a common cause of ventricular tachycardia. Other causes of ventricular tachycardia are illicit drug use such as cocaine and methamphetamine, structural heart diseases including congenital heart diseases and inherited channelopathies. In addition, drugs that prolong the QT interval and electrolyte disturbances such as hypokalemia, hypomagnesemia, and hypocalcemia can also predispose to ventricular tachycardia.

Causes

Life Threatening Causes

Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.

• Acute coronary syndrome
• Congestive heart failure
• NSTEMI
• STEMI
• Unstable angina

Common Causes

• Acid-base disturbances
• Antiarrhythmics
• Azithromycin
• Cardioversion
• Clarithromycin
• Claritin
• Cocaine
• Congestive heart failure
• Dilated cardiomyopathy
• Erythromycin
• Hypokalemia
• Hypomagnesemia
• Myocarditis
• Obstructive sleep apnea
• Pulmonary artery catheter
• STEMI
• Tricyclic antidepressants

Causes by Organ System

Cardiovascular	Acute coronary syndrome, Andersen cardiodysrhythmic periodic paralysis, arrhythmogenic right ventricular dysplasia, AV block, Brugada syndrome, cardiomyopathy, catecholaminergic polymorphic ventricular tachycardia, congenital heart disease, congestive heart failure, dilated cardiomyopathy, hypertensive heart disease, hypertrophic cardiomyopathy, ischemic heart disease, Jervell and Lange-Nielsen syndrome, long QT syndrome, mitral valve prolapse, myocardial infarction, myocarditis, noncompaction cardiomyopathy, NSTEMI, right ventricular outflow tract tachycardia, Romano-Ward syndrome, short QT syndrome, short QT syndrome type 1, short QT syndrome type 2, short QT syndrome type 3, short QT syndrome type 4, short QT syndrome type 5, STEMI, Timothy syndrome, torsade de pointes, unstable angina, valvular heart disease, ventricular aneurysm, Wolff-Parkinson-White syndrome
Chemical / poisoning	Acetaminophen, arsenic trioxide, arsenicals, methanol, aconitine
Dermatologic	No underlying causes
Drug Side Effect	Acetaminophen, alimemazine, almokalant, amiodarone, amitriptyline, amphetamines, antiarrhythmics, asenapine, aspirin, astemizole, azimilide, azithromycin, bepridil, bretylium, budipine, chloroquine, cibenzoline, cisapride, citalopram, claritin, clomipramine, clozapine, cocaine, crizotinib, desipramine, digitalis, diphenhydramine, disopyramide, dofetilide, dolasetron, doxepin, dronedarone, droperidol, Eletriptan, eribulin mesylate, erythromycin, fluconazole, grepafloxacin, halofantrine, haloperidol, ibutilide, imipramine, indapamide, inotropes, ketanserin, ketoconazole, lidoflazine, lubeluzole, methadone, methadyl acetate, methamphetamine, midodrine, mizolastine, moxifloxacin, naratriptan, nicardipine, nilotinib, ondansetron, pasireotide, pazopanib, pentamidine, phenothiazines, pimozide, piperaquine, prenylamine, probucol, procainamide, propoxyphene, quinidine, quinine, ranolazine, retigabine, ritodrine, ritonavir, saquinavir, sertindole, sotalol, sparfloxacin, Sumatriptan, sympathomimetic agents, tedisamil, telithromycin, terfenadine, terodiline, tetrabenazine, theophylline, thioridazine, tricyclic antidepressants, vandetanib, vemurafenib, venlafaxine, vernakalant, voriconazole, vorinostat, ziprasidone, zotepine, zuclopenthixol
Ear Nose Throat	No underlying causes
Endocrine	Addisonian crisis, Cushing's syndrome, diabetic ketoacidosis, hyperthyroidism, hypothyroidism, myxedema, pheochromocytoma
Environmental	Heat stroke, hypothermia, zero gravity
Gastroenterologic	No underlying causes
Genetic	Andersen cardiodysrhythmic periodic paralysis, channelopathies, Fabry disease, Jervell and Lange-Nielsen syndrome, myotonic dystrophy, Romano-Ward syndrome, short QT syndrome type 1, short QT syndrome type 2, short QT syndrome type 3, short QT syndrome type 4, short QT syndrome type 5, Timothy syndrome
Hematologic	No underlying causes
Iatrogenic	Cardioversion, defibrillation, heart surgery, post-anesthesia, pulmonary artery catheter, right heart catheterisation, runaway pacemaker syndrome, cardiac transplantation
Infectious Disease	Chagas heart disease, Lyme disease, myocarditis
Musculoskeletal / Ortho	Andersen cardiodysrhythmic periodic paralysis, Timothy syndrome, myotonic dystrophy
Neurologic	Acute stroke
Nutritional / Metabolic	Acid-base disturbances, acidosis, acute starvation, electrolyte imbalance, hyperkalaemia, hypocalcemia, hypoglycaemia, hypokalemia, hypomagnesemia
Obstetric/Gynecologic	No underlying causes
Oncologic	No underlying causes
Opthalmologic	No underlying causes
Overdose / Toxicity	Alimemazine, almokalant, amiodarone, amitriptyline, amphetamines, antiarrhythmics, bretylium, budipine, chloroquine, cibenzoline, cisapride, clomipramine, clozapine, crizotinib, desipramine, digitalis, diphenhydramine, disopyramide, dofetilide, doxepin, dronedarone, droperidol, eribulin mesylate, halofantrine, haloperidol, ibutilide, lidoflazine, methadone, methadyl acetate, methamphetamine, midodrine, mizolastine, pentamidine, phenothiazines, pimozide, piperaquine, prenylamine, probucol, procainamide, propoxyphene, quinidine, quinine, ranolazine, retigabine, ritodrine, ritonavir, sertindole, tedisamil, telithromycin, terfenadine, terodiline, tetrabenazine, thioridazine, vandetanib, vemurafenib, venlafaxine, voriconazole, ziprasidone, zotepine, zuclopenthixol
Psychiatric	Anorexia nervosa, major depression, Takotsubo cardiomyopathy
Pulmonary	Chronic pulmonary artery hypertension, COPD, hypoxia, obstructive sleep apnea
Renal / Electrolyte	Acid-base disturbances, acidosis, electrolyte imbalance, hyperkalaemia, hypocalcemia, hypoglycaemia, hypokalemia, hypomagnesemia, renal failure, uremia
Rheum / Immune / Allergy	Amyloidosis, cardiac sarcoidosis, giant cell myocarditis, rheumatoid arthritis, systemic lupus erythematosus
Sexual	No underlying causes
Trauma	Blunt chest trauma, myocardial contusion
Urologic	No underlying causes
Dental	No underlying causes
Miscellaneous	Alcoholism, idiopathic

Causes in Alphabetical Order

• Acid-base disturbances
• Acidosis
• Aconitine toxin
• Acute coronary syndrome
• Acute starvation
• Acute stroke
• Addisonian crisis
• Alcoholism
• Alimemazine
• Almokalant
• Amiodarone
• Amitriptyline
• Amphetamines
• Amyloidosis
• Andersen cardiodysrhythmic periodic paralysis
• Anorexia nervosa
• Antiarrhythmics
• Arrhythmogenic right ventricular dysplasia
• Arsenic trioxide
• Arsenicals
• Asenapine
• Astemizole
• AV block
• Azimilide
• Azithromycin
• Bepridil
• Blunt chest trauma
• Bretylium
• Brugada syndrome
• Budipine
• Caffeine
• Cardiac sarcoidosis
• Cardiac transplantation
• Cardiomyopathy
• Cardioversion
• Catecholaminergic polymorphic ventricular tachycardia
• Chagas heart disease
• Channelopathies
• Chloroquine
• Chronic pulmonary artery hypertension
• Cibenzoline
• Cisapride
• Citalopram
• Claritin
• Clomipramine
• Clozapine
• Cocaine
• Congenital Heart Disease
• Congestive heart failure
• COPD
• Crizotinib
• Cushing's syndrome
• Defibrillation
• Desipramine
• Diabetic ketoacidosis
• Dilated cardiomyopathy
• Digitalis
• Diphenhydramine
• Disopyramide
• Dofetilide

• Dolasetron
• Doxepin
• Dronedarone
• Droperidol
• Electrolyte imbalance
• Eribulin mesylate
• Erythromycin
• Fabry disease
• Fluconazole
• Giant cell myocarditis
• Grepafloxacin
• Halofantrine
• Haloperidol
• Heart surgery
• Heat stroke
• Hyperkalaemia
• Hypertensive heart disease
• Hypertrophic cardiomyopathy
• Hypocalcemia
• Hypoglycaemia
• Hypokalemia
• Hypomagnesemia
• Hypothermia
• Hypothyroidism
• Hypoxia
• Ibutilide
• Idiopathic
• Imipramine
• Indapamide
• Inotropes
• Ischemic heart disease
• Jervell and Lange-Nielsen syndrome
• Ketanserin
• Ketoconazole
• Lidoflazine
• Long QT Syndrome
• Lubeluzole
• Lyme disease
• Major depression
• Methadone
• Methadyl acetate
• Methamphetamine
• Midodrine
• Mitral valve prolapse
• Mizolastine
• Moxifloxacin
• Myocardial Infarction
• Myocarditis
• Myotonic dystrophy
• Myxedema
• Naratriptan
• Nicardipine
• Nilotinib
• Noncompaction cardiomyopathy
• NSTEMI
• Obstructive sleep apnea
• Ondansetron
• Pasireotide
• Pazopanib
• Pentamidine

• Phenothiazines
• Pimozide
• Piperaquine
• Post-anesthesia
• Prenylamine
• Probucol
• Procainamide
• Propoxyphene
• Pulmonary artery catheter
• Quinidine
• Quinine
• Renal failure
• Ranolazine
• Retigabine
• Rheumatoid arthritis
• Right heart catheterisation
• Right ventricular outflow tract tachycardia
• Ritodrine
• Ritonavir
• Romano-Ward syndrome
• Runaway pacemaker syndrome
• Saquinavir
• Sertindole
• Short QT syndrome
• Short QT syndrome type 1
• Short QT syndrome type 2
• Short QT syndrome type 3
• Short QT syndrome type 4
• Short QT syndrome type 5
• Sleep apnea
• Sotalol
• Sparfloxacin
• STEMI
• Sympathomimetic agents
• Systemic lupus erythematosus
• Takotsubo cardiomyopathy
• Tedisamil
• Telithromycin
• Terfenadine
• Terodiline
• Tetrabenazine
• Thioridazine
• Timothy syndrome
• Torsade de pointes
• Unstable angina
• Uremia
• Valvular heart disease
• Vandetanib
• Vemurafenib
• Venlafaxine
• Ventricular aneurysm
• Vernakalant
• Voriconazole
• Vorinostat
• Wolff-Parkinson-White syndrome
• Zero gravity
• Ziprasidone
• Zotepine
• Zuclopenthixol