Electrical storm in a middle-aged man

Dzifa Ahadzi; Francis Agyekum; Alfred Doku; Abdul Subulr Yakubu; Gwendolyn Hoedofia; Harold Ayetey

doi:10.4314/gmj.v57i2.11

Electrical storm in a middle-aged man

Dzifa Ahadzi, Francis Agyekum, Alfred Doku, Abdul Subulr Yakubu, Gwendolyn Hoedofia, Harold Ayetey

Department of Medicine And Therapeutics

Research output: Contribution to journal › Article › peer-review

Abstract

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.

Original language	English
Pages (from-to)	156-160
Number of pages	5
Journal	Ghana Medical Journal
Volume	57
Issue number	2
DOIs	https://doi.org/10.4314/gmj.v57i2.11
Publication status	Published - Jun 2023

Keywords

Electrical storm
arrhythmia
arrhythmogenic right ventricular cardiomyopathy
ventricular fibrillation
ventricular tachycardia

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10.4314/gmj.v57i2.11

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abstract = "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.",

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AU - Ahadzi, Dzifa

AU - Agyekum, Francis

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AU - Yakubu, Abdul Subulr

AU - Hoedofia, Gwendolyn

AU - Ayetey, Harold

PY - 2023/6

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N2 - 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.

AB - 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.

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Electrical storm in a middle-aged man

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