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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...

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Autores principales: Belharty, Najlaa, El Ghali, Tanae, Siagh, Selma, Choho, Zakaria, Benmessaoud, Fatima Azzahra, Fellat, Ibtissam, Oukerraj, Latifa, Cherti, Mohamed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
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.
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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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