Arrhythmia Grand Rounds, April 2015, Volume 1, Issue 1: 7-10
Electrical Storm in a Patient with Dilated Cardiomyopathy Suppressed with Cardiac Resynchronization Therapy
1 University of Athens , First Cardiology Clinic, Athens, Greece
2 Hippokration Hospital, Cardiology Department, Athens, Greece
We present the case of a 55-year-old man with dilated cardiomyopathy and a syncopal episode who developed electrical storm with multiple instances of both monomorphic and polymorphic sustained ventricular tachycardia terminated by shocks in the face of worsening heart failure not responding to triple antiarrhythmic drug therapy including sedation and intubation in the coronary care unit. Hemodynamic improvement after cardiac resynchronization therapy with defibrillation backup (CRT-D) implantation brought about a dramatic response in the situation. This case report demonstrates the usefulness and efficiency of CRT-D as an option of treating electrical storm by improving ventricular function in the case of electrical instability being an expression of severe pump failure.
You must be registered and logged in to leave comments.
There have been no comments posted yet
- Start a new comment or
Ask a question (publicly)
- Send a Question to the Author (privately)
- Query the Editorial Board
All comments will be screened and reviewed before posting. Statements, opinions, and results of studies published in AGR are those of the authors and do not reflect the policy or position of The Journal and Science International and the Editorial Board and provides no warranty as to their accuracy or reliability. Material is copyrighted and owned by Science International and cannot be used without expressed permission.