15th May 2025

33 years old male attended to A&E with recurrent ICD shocks.

33 years old male attended to A&E with recurrent ICD shocks. He is stable at the moment with blood pressure of 100/60mm Hg, heart rate- 80/min, SpO2- 99% in room air. He had a history of congenital LQTS (LQT1 genotype) with ICD implantation and  a maximum dose of propranolol (240mg/day). ICD interrogation revealed appropriate shock with multiple successful ICD discharge. He had no prior chest pain and bloods including urea and electrolytes within normal limits. His ECG is shown below

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