Exacerbation of electrical storm subsequent to implantation of a right vagal stimulator.
A patient with advanced ischemic cardiomyopathy underwent implantation of a vagal stimulator in an attempt to control recurrent drug refractory ventricular arrhythmia. Electrical storm was exacerbated after the implant and continued after neurostimulation was discontinued. The report aims to provide a cautionary note to application of vagal stimulation for control of cardiac arrhythmia.
Shalaby
Alaa A
AA
Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA, USA. alaa.shalaby@med.va.gov
El-Saed
Aiman
A
Nemec
Jan
J
Moossy
John J
JJ
Balzer
Jeffrey R
JR
D000368:Aged; D004599:Electric Stimulation Therapy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D017202:Myocardial Ischemia / Q000150:complications*; D017180:Tachycardia, Ventricular / Q000503:physiopathology / Q000628:therapy*; D014630:Vagus Nerve / Q000502:physiology* / Q000601:surgery; D014693:Ventricular Fibrillation / Q000503:physiopathology / Q000628:therapy*