Electrical storm 11 days after acute myocardial infarction: a case report

Ohsawa, Sayaka; Isono, Hiroki; Ojima, Eiji; Toyama, Masahiro; Kuroda, Yasuhiro; Watanabe, Shigeyuki; Abe, Toshikazu

doi:10.1186/s13256-019-2267-5

Cited by 7 publications

(4 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Electrical storm is defined as three or more distinct episodes of ventricular tachyarrythmias within a 24-hour period needing defibrillation input, or one or more episodes reoccurring within five minutes of termination [ 8 ]. The incidence of this storm varies between 10% and 28% in patients where ICD implantation was done as secondary prevention [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

The Mystery of Electrical Storm: A Case Report

Rahman,

Sohail

2024

Cureus

View full text Add to dashboard Cite

Electrical storm is a cardiac emergency, defined as three or more hemodynamically unstable ventricular tachyarrythmias within 24 hours or ventricular tachycardia reoccurring within five minutes. The trigger for an electrical storm can be reversible like drug toxicity and electrolyte imbalances or can be irreversible like structural heart disease. Symptomatic patients can have chest pain, palpitations or syncopal episodes. We present a case of a gentleman in his 60s who was diagnosed with electrical storm which started as an out-of-hospital cardiac arrest. Uniqueness in the case lies in the unknown aetiology after all the investigations came back as normal and management of such cases is based on pacemakers and use of antiarrythmic agents to control and prevent further attacks.

show abstract

Section: Discussionmentioning

confidence: 99%

The Mystery of Electrical Storm: A Case Report

Rahman,

Sohail

2024

Cureus

View full text Add to dashboard Cite

show abstract

“…Myocardial infarction has been documented as a potential trigger for ES [ 33 , 34 ]. It is worth noting, though, that our patient did not present with acute onset chest pain, and her troponin curve did not show elevations, ruling out the possibility of a myocardial infarction.…”

Section: Discussionmentioning

confidence: 99%

“…In summary, while CCM is our primary hypothesis for the development of ES in this case, there are other important causes of arrhythmias in liver transplant recipients, including drug toxicities, electrolyte imbalances, myocardial infarction, thyrotoxicosis, and activation of the sympathetic nervous system due to surgery-related stress [ 24 , 26 , 28 , 30 , 33 , 35 , 38 , 39 ]. It is crucial to closely monitor the potential risk of ES in liver transplant recipients in the ICU and implement appropriate intervention strategies to prevent adverse outcomes in this population.…”

Section: Discussionmentioning

confidence: 99%

Life-Threatening Electrical Storm Following Liver Transplantation: A Case Report

Araujo Coelho,

Oliveira da Luz,

Teixeira Basto

et al. 2023

Am J Case Rep

View full text Add to dashboard Cite

Patient: Female, 61-year-old Final Diagnosis: Electrical storm Symptoms: Cardiac arrest • ventricular fibrillation Clinical Procedure: — Specialty: Cardiology • Critical Care Medicine • Gastroenterology and Hepatology • Transplantology Objective: Unknown etiology Background: Electrical storm is a rare but potentially life-threatening syndrome characterized by recurrent ventricular arrhythmias. Liver transplant recipients are at increased risk of developing electrical storms due to conditions that prolong QT intervals, such as cirrhotic cardiomyopathy. However, limited information exists on electrical storms in this specific population. This case report presents a patient who experienced 13 cardiac arrests during ventricular fibrillation following liver transplantation. Case Report: A 61-year-old woman with a medical history of diabetes, obesity, and cirrhosis due to non-alcoholic fatty liver disease underwent liver transplantation using a deceased donor’s liver. Following the procedure, she developed a deterioration in her respiratory function, necessitating orotracheal intubation. Approximately 21 hours post-surgery, she experienced cardiac arrest during ventricular fibrillation, which was rapidly reversed with electrical defibrillation. However, the patient entered a state of electrical storm. Management involved antiar-rhythmic medications and temporary transvenous cardiac pacing. She remained stable for 40 hours, but a dislodgment of the device triggered another episode of ventricular fibrillation, leading to her death. Conclusions: This case report highlights the clinical presentation and challenges in managing electrical storms in liver transplant recipients. We hypothesize that cirrhotic cardiomyopathy could be the cause of her recurrent ventricular arrhythmias. Further studies are needed to better understand the underlying mechanisms and risk factors of this life-threatening syndrome in this population, which may enhance risk stratification and enable earlier intervention.

show abstract

“…Some studies have also pointed out that prolonged electrical resuscitation may damage cardiac myocytes and require prompt other evaluations, such as catheter ablation, but the current data support early intervention. [17] In contrast, extracorporeal pulmonary oxygenation support is a good option for stabilizing patients with severe ES in electrical storms accompanied by cardiac arrest, providing valuable time for effective treatment. [18] The successful resuscitation in this case was attributed to early detection, timely resuscitation, and close cooperation of medical and nursing staff.…”

Section: Discussionmentioning

confidence: 99%

Successful rescue of renal transplantation with cardiac arrest after electrical storm: A case report

Xia

et al. 2022

Medicine

View full text Add to dashboard Cite

Rationale: Most patients with end-stage chronic kidney disease are associated with complications such as renal hypertension, renal anemia, hyperkalemia, water-sodium retention, and disorders of acid-base balance after long-term renal replacement therapy, which can lead to increased cardiac burden, some degree of myocardial damage, and finally progress to arrhythmia and heart failure. These are the main reasons why patients with chronic kidney disease are prone to cardiovascular events after renal transplantation.Patient concerns: We report a case of sudden onset of ventricular fibrillation on the postoperative second day, with repeated electrical storm accompanied by cardiac arrest during resuscitation, a very long cardiopulmonary resuscitation (CPR) process of 5 hours and 14 minutes, and >20 cycles of cardiac defibrillation.Diagnoses: According to the patient history and resuscitation process, a diagnosis of ES with cardiac arrest after renal transplantation was formulated.Intervention: According to the American Heart Association guidelines for CPR and cardiovascular emergencies, resuscitation measures such as CPR, tracheal intubation, electric defibrillation, symptomatic medication, etc. were performed on the patient.Outcomes: Finally, the patient was successfully resuscitated, after which the patient had stable respiratory circulation and no neurological complications. To our knowledge, this is the only reported case in which a patient survived with good neurologic outcomes after a resuscitation that lasted as long as 5 hours and 14 minutes.Lessons: This case of adequate resuscitation can provide experience and a basis for CPR of patients with in-hospital complications of cardiovascular events for a long time.

show abstract

Electrical storm 11 days after acute myocardial infarction: a case report

Cited by 7 publications

References 12 publications

The Mystery of Electrical Storm: A Case Report

The Mystery of Electrical Storm: A Case Report

Life-Threatening Electrical Storm Following Liver Transplantation: A Case Report

Successful rescue of renal transplantation with cardiac arrest after electrical storm: A case report

Contact Info

Product

Resources

About