# The Mystery of Electrical Storm: A Case Report

## TL;DR

This paper presents a case of a man in his 60s who experienced an electrical storm with no clear cause and discusses its management.

## Contribution

The novelty lies in the case's unknown aetiology despite normal investigations.

## Key findings

- The patient's electrical storm began with an out-of-hospital cardiac arrest.
- All investigations returned normal results, leaving the cause unknown.
- Management involved pacemakers and antiarrhythmic agents to prevent further episodes.

## Abstract

Electrical storm is a cardiac emergency, defined as three or more hemodynamically unstable ventricular tachyarrythmias within 24 hours or ventricular tachycardia reoccurring within five minutes. The trigger for an electrical storm can be reversible like drug toxicity and electrolyte imbalances or can be irreversible like structural heart disease. Symptomatic patients can have chest pain, palpitations or syncopal episodes. We present a case of a gentleman in his 60s who was diagnosed with electrical storm which started as an out-of-hospital cardiac arrest. Uniqueness in the case lies in the unknown aetiology after all the investigations came back as normal and management of such cases is based on pacemakers and use of antiarrythmic agents to control and prevent further attacks.