Key result
Conservative management with antiarrhythmic drugs successfully prevented further clinical episodes of ventricular tachycardia in a 58-year-old man with electrical storm secondary to ARVC.
Case Report (n=1)
This case highlights the successful conservative management of electrical storm secondary to ARVC with antiarrhythmic drugs in a resource-limited setting where ICD therapy was declined due to cost.
May support antiarrhythmic drugs for electrical storm in ARVC; hypothesis-generating and requires prospective confirmation.
Electrical storm (ES) refers to a life-threatening condition characterised by three or more episodes of ventricular tachycardia (VT), ventricular fibrillation (VF), or appropriate implantable cardioverter defibrillator (ICD) shocks in 24 hours. We report a case of a 58-year-old man who suffered recurrent episodes of sustained VT despite appropriate defibrillation and antiarrhythmic drug therapy. On stepwise evaluation, arrhythmogenic right ventricular cardiomyopathy (ARVC) was considered the most likely substrate for his dysrhythmia. He was managed conservatively on antiarrhythmic drugs with no further clinical episodes of VT, and ICD implantation for secondary prophylaxis was recommended. Funding: None declared.
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Ahadzi et al. (2023) conducted a case report in Electrical storm secondary to arrhythmogenic right ventricular cardiomyopathy (ARVC) (n=1). Antiarrhythmic drug therapy (amiodarone and bisoprolol) was evaluated on Recurrence of ventricular tachycardia. Conservative management with antiarrhythmic drugs successfully prevented further clinical episodes of ventricular tachycardia in a 58-year-old man with electrical storm secondary to ARVC.
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