Bidirectional ventricular tachycardia in rheumatic fever reactivation

Abstract

Bidirectional ventricular tachycardia (VT) is a rare rhythm disorder, usually described in digitalis intoxication, fulminant myocarditis, familial catecholaminergic polymorphic VT, familial hypokalemic periodic paralysis, and aconitine poisoning. This case describes a young male with rheumatic fever reactivation (RFR) with manifestation of myocarditis and bidirectional ventricular tachycardia (BVT). A myocarditis with BVT in RFR had not been reported before.