Spontaneous Pothole Cardioversion of a Wide Complex Tachycardia

Abstract

External mechanical forces, if properly timed and of sufficient energy, have rarely been reported to convert tachyarrhythmias to sinus rhythm. We report a case of a patient with a wide-complex tachycardia that spontaneously converted to sinus rhythm after an ambulance ran over a pothole during emergency transport to the hospital. (Level of Difficulty: Beginner.)

Keywords

• ablation
• electrophysiology
• supraventricular arrhythmias
• tachycardia