# Electrical storm in a middle-aged man

## TL;DR

A 58-year-old man experienced a life-threatening heart condition called electrical storm, which was managed with drugs and a defibrillator.

## Contribution

The paper presents a clinical case of electrical storm managed with antiarrhythmic drugs and ICD implantation.

## Key findings

- The patient had recurrent episodes of sustained ventricular tachycardia despite defibrillation and drug therapy.
- Arrhythmogenic right ventricular cardiomyopathy was identified as the likely cause of the dysrhythmia.
- Conservative drug management and ICD implantation prevented further episodes.

## Abstract

Electrical storm (ES) refers to a life-threatening condition characterised by three or more episodes of ventricular tachycardia (VT), ventricular fibrillation (VF), or appropriate implantable cardioverter defibrillator (ICD) shocks in 24 hours. We report a case of a 58-year-old man who suffered recurrent episodes of sustained VT despite appropriate defibrillation and antiarrhythmic drug therapy. On stepwise evaluation, arrhythmogenic right ventricular cardiomyopathy (ARVC) was considered the most likely substrate for his dysrhythmia. He was managed conservatively on antiarrhythmic drugs with no further clinical episodes of VT, and ICD implantation for secondary prophylaxis was recommended.

None declared