open access

Vol 65, No 11 (2007)
Other
Published online: 2007-11-21
Submitted: 2012-12-28
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Case report
Cardiac resynchronisation therapy as a cause of the electrical storm

Wojciech Krupa, Jacek Lackowski, Sławomir Sielski, Ryszard Dobosiewicz, Jacek Kubica
Kardiol Pol 2007;65(11):1350-1353.

open access

Vol 65, No 11 (2007)
Other
Published online: 2007-11-21
Submitted: 2012-12-28

Abstract

We report a case of young patient with dilated cardiomyopathy and implanted cardioverter-defibrillator in which resynchronisation therapy (CRT-D) induced an electrical storm. One month after implantation of a cardiac resynchronisation pacemaker (CRT-P) the patient suffered from ventricular tachycardia with poor haemodynamic status and was treated by implantation of a CRT-D with a Y adaptor. After replacement of the CRT-D due to Y adaptor damage (new device without a Y adaptor) we observed an electrical storm during ventricular pacing (biventricular, right and left ventricular pacing respectively). Changing pacing mode from DDDR to AAIR resolved ventricular tachycardias in that patient.

Abstract

We report a case of young patient with dilated cardiomyopathy and implanted cardioverter-defibrillator in which resynchronisation therapy (CRT-D) induced an electrical storm. One month after implantation of a cardiac resynchronisation pacemaker (CRT-P) the patient suffered from ventricular tachycardia with poor haemodynamic status and was treated by implantation of a CRT-D with a Y adaptor. After replacement of the CRT-D due to Y adaptor damage (new device without a Y adaptor) we observed an electrical storm during ventricular pacing (biventricular, right and left ventricular pacing respectively). Changing pacing mode from DDDR to AAIR resolved ventricular tachycardias in that patient.
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Keywords

cardiac resynchronisation therapy; electrical storm; implantable cardioverter-defibrillator

About this article
Title

Case report
Cardiac resynchronisation therapy as a cause of the electrical storm

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 65, No 11 (2007)

Pages

1350-1353

Published online

2007-11-21

Bibliographic record

Kardiol Pol 2007;65(11):1350-1353.

Keywords

cardiac resynchronisation therapy
electrical storm
implantable cardioverter-defibrillator

Authors

Wojciech Krupa
Jacek Lackowski
Sławomir Sielski
Ryszard Dobosiewicz
Jacek Kubica

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