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August 26, 2020Heart

Ventricular storm following late presentation acute myocardial infarction

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Population

1 patient aged mid-70s with late presentation acute anterior MI

Design

Case report

Authors

JIJhanzeb IhsanAKAleem KhandUniversity of LiverpoolAAAhmed AdlanNorth Manchester General Hospital

Discussion

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Implication

May signal ventricular storm risk after late MI presentation; leaves open optimal management pending larger studies.

Structured PICO

P
Population
1 patient (aged mid-70s) admitted following 4 days of chest pain and breathlessness, with completed transmural anterior myocardial infarction (MI), severe left ventricular systolic dysfunction, and pulmonary congestion.
I
Intervention
Intravenous furosemide and standard secondary prevention medications including bisoprolol 2.5 mg once daily (initiated 48 hours after admission), followed by coronary angiography on day 7.

This case highlights the risk of ventricular storm as a severe complication in patients presenting late with transmural anterior myocardial infarction and severe left ventricular systolic dysfunction.

Cite This Study

Ihsan et al. (2020) studied this question.

synapsesocial.com/papers/6a7640fb4fac453bfeb1b933https://doi.org/10.1136/heartjnl-2020-316840

Topics

STEMI managementVentricular arrhythmias
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Also Consider

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  1. 1Electrical storm 11 days after acute myocardial infarction: a case report2019 · 11 citations
  2. 2Spontaneous and Induced Cardiac Arrhythmias in Subendocardial Purkinje Fibers Surviving Extensive Myocardial Infarction in Dogs1973 · 234 citations
  3. 3Survival of Subendocardial Purkinje Fibers after Extensive Myocardial Infarction in Dogs1973 · 322 citations
  4. 4De subitaneis mortibus. XXX. Observations on the pathophysiology of the long QT syndromes with special reference to the neuropathology of the heart.1978 · 109 citations
  5. 5Quinidine-induced Paroxysmal Ventricular Fibrillation Treated with Propranolol1966 · 22 citations