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Successful treatment of electrical storm in a patient with severe heart failure: a case report

https://doi.org/10.15829/1728-8800-2025-4423

EDN: XPGTKG

Abstract

Electrical storm (ES) is a potentially life-threatening condition, the incidence of which increases with the number of patients with implantable cardioverter-defibrillators. One of the common causes of its development is coronary artery disease. Stopping ES is a complex task that requires the participation of a multidisciplinary team. This case report describes successful treatment of ES in a patient with heart failure of ischemic origin with a left ventricular ejection fraction of 19%, severe myocardial scarring, and a chronic left ventricular apex aneurysm. The patient developed multiple (up to 25/day) episodes of hemodynamically stable, symptomatic, monomorphic ventricular tachycardia associated with myocardial scarring.

About the Authors

K. G. Filippov
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Moscow



O. K. Yakovitskaya
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Moscow



K. S. Krupichka
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Moscow



A. M. Abdullaev
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Moscow



References

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6. Muser D, Liang JJ, Hayashi T, et al. Identifying risk and mana­gement of acute haemodynamic decompensation during catheter ablation of ventricular tachycardia. Arrhythm Electrophysiol Rev. 2018;7(4):282-7. doi:10.15420/aer.2018.36.3.

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Supplementary files

  • Treatment of electrical storm is aimed at elimi­na­ting the pathophysiological mechanisms of its deve­lop­ment.
  • The main stages include diagnosis, relief and pre­ven­tion of repeated episodes of electrical storm, as well as solving key problems in patients with end-stage heart failure.

Review

For citations:


Filippov K.G., Yakovitskaya O.K., Krupichka K.S., Abdullaev A.M. Successful treatment of electrical storm in a patient with severe heart failure: a case report. Cardiovascular Therapy and Prevention. 2025;24(6):4423. (In Russ.) https://doi.org/10.15829/1728-8800-2025-4423. EDN: XPGTKG

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ISSN 1728-8800 (Print)
ISSN 2619-0125 (Online)