Ventricular tachycardia storm--an atypical presentation of sarcoidosis exacerbation.
Management of ventricular tachycardia (VT) storm in a patient with an implantable cardioverter-defibrillator (ICD) is a challenging medical emergency. We describe a patient with cardiac sarcoidosis (CS) and an ICD who is admitted with VT storm. Management of VT was difficult due to resistance to multiple antiarrhythmic drugs. He responded to immunosuppressive therapy supporting active CS as the cause of his VT. This case suggests that CS may underlie some cases of refractory VT and that immunosuppressive therapy may be effective in controlling this arrhythmia.
Vanga
Subba Reddy
SR
Mid-America Cardiology, Kansas University Hospital, Kansas City KS 66220, USA.
Vacek
James
J
Berenbom
Loren
L
Lakkireddy
Dhanunjaya R
DR