Electrical Storm With Incessant Ventricular Tachycardia in a COVID-19 Patient: Review of Current Evidence

被引:2
作者
Doodnauth, Andrew V. [1 ]
Goel, Ridhima [1 ]
Chen, Lu [2 ]
Uppin, Vaibhavi [3 ]
Malik, Zohra R. [4 ]
Patel, Krunal H. [1 ]
McFarlane, Samy I. [5 ]
机构
[1] Suny Downstate Med Ctr, Internal Med, Brooklyn, NY 11203 USA
[2] Suny Downstate Med Ctr, Cardiol, Brooklyn, NY 11203 USA
[3] Suny Downstate Med Ctr, Electrophysiol, Brooklyn, NY 11203 USA
[4] St Johns Episcopal Hosp, Internal Med, Far Rockaway, NY USA
[5] Suny Downstate Med Ctr, Med & Endocrinol, Brooklyn, NY 11203 USA
关键词
covid-19; myocarditis; ventricular arrhythmias; monomorphic ventricular tachycardia; electrical storm;
D O I
10.7759/cureus.15604
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Coronavirus disease 2019 (COVID-19) is associated with various cardiovascular manifestations, including myocarditis, myocardial infarction, and arrhythmias. A prothrombotic state is the primary underlying pathogenic mechanism. While cardiac arrhythmias manifest more commonly amongst critically ill COVID19 populations, ventricular arrhythmias have been reported only in few cases. This report describes a case of a 95-year-old African American man with COVID-19, who developed sustained monomorphic ventricular tachycardia, which progressed to an electrical storm. The case highlights the importance of high clinical suspicion, early recognition of electrical abnormalities in patients with active COVID-19 infection, and its ability to precipitate fatal ventricular arrhythmia. Also, we provide a literature review on the electrical storm in COVID-19 patients, highlighting the pathophysiologic mechanisms and the management of this deadly arrhythmia.
引用
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页数:7
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