Abstract
60-year-old male admitted to hospital with chest pain. He was diagnosed as Acute Extensive Anterior Myocardial Infarction (AMI) and treated with stent placement. Postoperatively, the Electrocardiogram (ECG) showed third degree atrioventricular block. The patient went in cardiac shock and was treated with both temporary pacemaker and Intra Aortic Balloon Pumping (IABP). Despite IABP, antiarrhythmic drugs and β-blocker, Ventricular Tachycardia (VT) and Ventricular Fibrillation (VF) had been occupied frequently and cardioversion was performed 63 times.
Highlights
Electrical storm is defined as “three or more distinct episodes of VF (Ventricular Fibrillation) or hemodynamically destabilizing Ventricular Tachycardia (VT) (Ventricular tachycardia) within a 24 hours period [1]
We present a case of a patient with Acute Myocardial Ischemia or Infarction (AMI) who developed electrical storm after Percutaneous Coronary Intervention (PCI), which was suppressed with conversion, and overdrive pacing (Figure 1)
We have described a patient with incessant VT/VF
Summary
Electrical storm is defined as “three or more distinct episodes of VF (Ventricular Fibrillation) or hemodynamically destabilizing VT (Ventricular tachycardia) within a 24 hours period [1]. The most common etiologies of electrical storm are those that are often responsible for ventricular tachydysrhythmias in general, including Acute Myocardial Ischemia or Infarction (AMI) and structural heart disease such as cardiomyopathy. We present a case of a patient with AMI who developed electrical storm after Percutaneous Coronary Intervention (PCI), which was suppressed with conversion, and overdrive pacing (Figure 1).
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