Key result
A ventricular tachycardia storm triggered by COVID-19 infection in a patient with ischemic cardiomyopathy was successfully terminated using 38 ICD shocks and antiarrhythmic drugs.
Why the study?
There are only a few reports of ventricular tachycardia storms occurring in patients with COVID-19 infection.
Case Report (n=1)
No
COVID-19 infection can trigger ventricular tachycardia storm in patients with pre-existing severe left ventricular dysfunction and ICDs, which can be effectively managed with ICD shocks and antiarrhythmic therapy.
Alerts clinicians to possible COVID-19-triggered VT storm in severe LV dysfunction; single case leaves open generalizability of management.
Severe Coronavirus disease 2019 (COVID-19) infection presents with acute respiratory distress syndrome and multiorgan dysfunction. Cardiac involvement is seen in about a quarter of patients, and it can present as acute coronary syndromes, arrhythmias, myocarditis, and thromboembolic events. Ventricular arrhythmias in the setting of COVID-19 infection are usually multifactorial in etiology. There are only a few reports of ventricular tachycardia (VT) storms in patients with COVID-19 infection. We hereby report a case of an elderly man with severe left ventricular systolic dysfunction and a stable cardiac status for the last few years who, following coronary artery bypass graft surgery and implantable cardioverter-defibrillator (ICD) implantation, experienced a VT storm after a COVID-19 infection. The VT storm was controlled using multiple ICD shocks, along with antiarrhythmic drugs. Following his recovery from COVID-19 infection, the patient was asymptomatic at a 3-month follow-up.
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Kasinadhuni et al. (2022) conducted a case report in Ventricular Tachycardia Storm and COVID-19 (n=1). ICD shocks and antiarrhythmic drugs was evaluated on Resolution of VT storm. A ventricular tachycardia storm triggered by COVID-19 infection in a patient with ischemic cardiomyopathy was successfully terminated using 38 ICD shocks and antiarrhythmic drugs.
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