[Cardiac resynchronisation therapy as a cause of the electrical storm].
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.
Klinika Kardiologii i Chorób Wewnetrznych, UMK, Collegium Medicum, ul. Skłodowskiej-Curie 9, 85-094 Bydgoszcz, Toruń. wkrupa@cm.umk.pl
Wojciech
W
Krupa
Jacek
J
Lackowski
Sławomir
S
Sielski
Ryszard
R
Dobosiewicz
Jacek
J
Kubica
D000328:Adult; D002304:Cardiac Pacing, Artificial; D002311:Cardiomyopathy, Dilated / Q000628:therapy*; D017147:Defibrillators, Implantable / Q000009:adverse effects*; D004562:Electrocardiography; D004868:Equipment Failure; D006329:Heart Conduction System; D006801:Humans; D008297:Male; D017180:Tachycardia, Ventricular / Q000209:etiology*