title: Catheter ablation of ventricular fibrillation storm in a long QT syndrome genotype carrier with normal QT interval.
abstract: Patients with long QT syndrome can sometimes present with a ventricular fibrillation (VF) storm. Catheter ablation of culprit premature ventricular complexes responsible for the triggering of the VF episodes may be required in rare cases of electrical storm that do not respond to conventional measures, and this can be life-saving. We describe a case of emergency catheter ablation in a young woman with a normal corrected QT interval, who presented with malignant VF storm for the first time. We also discuss the diagnostic and management challenges involved, as well as the value of genetic testing in refining the diagnosis.
authors: Department of Cardiology, National Heart Centre, Singapore.
authors: Jonathan
authors: J
authors: Yap
authors: Vern Hsen
authors: VH
authors: Tan
authors: Li Fern
authors: LF
authors: Hsu
authors: Reginald
authors: R
authors: Liew
mesh_terms: D002309:Cardiology; D017115:Catheter Ablation / Q000379:methods*; D004562:Electrocardiography / Q000379:methods; D005260:Female; D006323:Heart Arrest / Q000235:genetics / Q000628:therapy; D006579:Heterozygote; D006801:Humans; D008133:Long QT Syndrome / Q000235:genetics*; D017180:Tachycardia, Ventricular / Q000628:therapy; D016896:Treatment Outcome; D014693:Ventricular Fibrillation / Q000628:therapy*; D018879:Ventricular Premature Complexes / Q000235:genetics / Q000628:therapy; D055815:Young Adult