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Post-Myocardial Revascularization: As a Nidus for an Electrical Storm!
Electrical storm (ES) is a critical and potentially life-threatening cardiac rhythm disorder. It is characterized by the presence of three or more distinct episodes of sustained ventricular tachycardia (VT) or ventricular fibrillation (VF) that necessitate appropriate termination. ES may occur in th...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10498482/ https://www.ncbi.nlm.nih.gov/pubmed/37711947 http://dx.doi.org/10.7759/cureus.43450 |
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author | Belharty, Najlaa El Ghali, Tanae Siagh, Selma Choho, Zakaria Benmessaoud, Fatima Azzahra Fellat, Ibtissam Oukerraj, Latifa Cherti, Mohamed |
author_facet | Belharty, Najlaa El Ghali, Tanae Siagh, Selma Choho, Zakaria Benmessaoud, Fatima Azzahra Fellat, Ibtissam Oukerraj, Latifa Cherti, Mohamed |
author_sort | Belharty, Najlaa |
collection | PubMed |
description | Electrical storm (ES) is a critical and potentially life-threatening cardiac rhythm disorder. It is characterized by the presence of three or more distinct episodes of sustained ventricular tachycardia (VT) or ventricular fibrillation (VF) that necessitate appropriate termination. ES may occur in the setting of acute myocardial infarction or following myocardial reperfusion. An urgent treatment approach is necessary for better outcomes. We represent a case of a 64-year-old patient who presented with sudden chest pain and an episode of palpitations related to non-ST elevation myocardial infarction (NSTEMI), who has undergone percutaneous coronary intervention of the stenotic epicardial artery, but subsequently experienced an ES in the absence of stent thrombosis. ES presented in the form of sustained monomorphic VT that required synchronous direct current cardioversion, anti-arrhythmic drugs, deep sedation, and endotracheal intubation with a favorable course, with the patient being discharged after 14 days hospital stay. The practitioner should be mindful of the potential occurrence of ES following myocardial revascularization and should tailor the management approach. |
format | Online Article Text |
id | pubmed-10498482 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-104984822023-09-14 Post-Myocardial Revascularization: As a Nidus for an Electrical Storm! Belharty, Najlaa El Ghali, Tanae Siagh, Selma Choho, Zakaria Benmessaoud, Fatima Azzahra Fellat, Ibtissam Oukerraj, Latifa Cherti, Mohamed Cureus Cardiac/Thoracic/Vascular Surgery Electrical storm (ES) is a critical and potentially life-threatening cardiac rhythm disorder. It is characterized by the presence of three or more distinct episodes of sustained ventricular tachycardia (VT) or ventricular fibrillation (VF) that necessitate appropriate termination. ES may occur in the setting of acute myocardial infarction or following myocardial reperfusion. An urgent treatment approach is necessary for better outcomes. We represent a case of a 64-year-old patient who presented with sudden chest pain and an episode of palpitations related to non-ST elevation myocardial infarction (NSTEMI), who has undergone percutaneous coronary intervention of the stenotic epicardial artery, but subsequently experienced an ES in the absence of stent thrombosis. ES presented in the form of sustained monomorphic VT that required synchronous direct current cardioversion, anti-arrhythmic drugs, deep sedation, and endotracheal intubation with a favorable course, with the patient being discharged after 14 days hospital stay. The practitioner should be mindful of the potential occurrence of ES following myocardial revascularization and should tailor the management approach. Cureus 2023-08-14 /pmc/articles/PMC10498482/ /pubmed/37711947 http://dx.doi.org/10.7759/cureus.43450 Text en Copyright © 2023, Belharty et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Cardiac/Thoracic/Vascular Surgery Belharty, Najlaa El Ghali, Tanae Siagh, Selma Choho, Zakaria Benmessaoud, Fatima Azzahra Fellat, Ibtissam Oukerraj, Latifa Cherti, Mohamed Post-Myocardial Revascularization: As a Nidus for an Electrical Storm! |
title | Post-Myocardial Revascularization: As a Nidus for an Electrical Storm! |
title_full | Post-Myocardial Revascularization: As a Nidus for an Electrical Storm! |
title_fullStr | Post-Myocardial Revascularization: As a Nidus for an Electrical Storm! |
title_full_unstemmed | Post-Myocardial Revascularization: As a Nidus for an Electrical Storm! |
title_short | Post-Myocardial Revascularization: As a Nidus for an Electrical Storm! |
title_sort | post-myocardial revascularization: as a nidus for an electrical storm! |
topic | Cardiac/Thoracic/Vascular Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10498482/ https://www.ncbi.nlm.nih.gov/pubmed/37711947 http://dx.doi.org/10.7759/cureus.43450 |
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