Electrical storm in patient with implanted ICD as the first sign of cardiac device-related endocarditis
More details
Hide details
1st Department of Cardiology, Medical University of Warsaw
Małgorzata Mierzejewska   

1st Department of Cardiology, Medical University of Warsaw
Publication date: 2020-02-13
Heart Beat 2019;4:73–75
Inventing ICD devices has been of great use for many patients needing correction of even the most life-threatening cardiac arrhythmias, although with their implantation or function come many complications. Electrical storm is characterized by occurrence of three or more ventricular tachyarrhythmias which require electrotherapy within 24 hours. It occurs in about 10% to 20% of patients with ICD used for secondary prevention of sudden cardiac death while when implanted for primary prevention its incidence is about 4%. It is linked with a high mortality risk and increased rate of hospitalization but also could be a crucial symptom of lead-dependent infective endocarditis (LDIE). Management includes ablation, pharmacotherapy and reprogramming of the ICD.