Arrhythmogenic Munchausen syndrome culminating in caffeine-induced ventricular tachycardia

We report a patient with numerous abnormal electrocardiograms (ECGs) in both inpatient and outpatient settings. Our patient both simulated and stimulated her arrhythmias with an ECG rhythm generator and intentional caffeine intoxication. To our knowledge, this is the first report of caffeine overdose for arrhythmogenesis. (C) 2011 Elsevier Inc. All rights reserved.