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Unusual association of diseases/symptoms
Ventricular fibrillation coinciding with phentermine initiation
  1. Patrick Tobbia1,
  2. Leslie A Norris2,
  3. Lawrence D Klima1
  1. 1Department of Internal Medicine, Cone Health, Greensboro, North Carolina, USA
  2. 2Moose Pharmacy, Concord, North Carolina, USA
  1. Correspondence to Dr Patrick Tobbia, tobbia{at}gmail.com

Summary

A 70-year-old woman developed ventricular fibrillation subsequent to initiation of phentermine therapy. She was hospitalised and experienced recurrent ventricular fibrillation. During cardiac catheterisation, she was found to have a right coronary artery vasospasm, which resolved with intravenous nitroglycerin. Her phentermine was discontinued and the patient remained symptom free at last follow-up.

https://doi.org/10.1136/bcr-2012-006410

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