Key result
Percutaneous revascularization of a chronic occlusion in the right coronary artery successfully terminated electrical storm, avoiding the need for an implantable cardiac defibrillator.
Case Report (n=1)
No
Percutaneous revascularization of a chronically occluded right coronary artery successfully treated an electrical storm, avoiding the need for an ICD by addressing a reversible ischemic trigger.
CTO revascularization may terminate ischemic VT storm in select cases; leaves open whether it reduces ICD need broadly.
Electrical storm is defined by at least three episodes of sustained ventricular tachyarrhythmias or appropriate shocks given by implantable cardiac defibrillator devices (ICD), occurring within a period of 24 hours. In the present manuscript, we present the case of a 69-year-old female patient with previous aortocoronary bypass, who was admitted from the Emergency Department after presenting several episodes of syncope in prehospital settings and presented 4 episodes of sustained ventricular tachycardia which required electrical cardioversion. The arrhythmia disappeared after percutaneous revascularization of a chronic occlusion in the right coronary artery. In this case, the implantation of an ICD was avoided, as a reversible cause of ES has been identified and treated.
No takes yet. Share an insight, caveat, or question.
Păsăroiu et al. (2019) conducted a case report in Electrical storm due to active myocardial ischemia (n=1). Percutaneous coronary intervention (PCI) of the right coronary artery was evaluated on Cessation of arrhythmic episodes. Percutaneous revascularization of a chronic occlusion in the right coronary artery successfully terminated electrical storm, avoiding the need for an implantable cardiac defibrillator.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: