Electric storm triggered by short-coupled premature ventricular complexes in a young patient with non-obstructive hypertrophic cardiomyopathy

BMJ Case Rep. 2024 Sep 20;17(9):e259846. doi: 10.1136/bcr-2024-259846.

Abstract

Ventricular arrhythmias are commonly associated with hypertrophic cardiomyopathy with and without midventricular obstruction. Although the overall prognosis is relatively good with an annual mortality rate <1%, the propensity to potentially fatal ventricular arrhythmias (ventricular tachycardia) is the most feared complication. Electrical storms are a severe manifestation of ventricular arrhythmias, with poor outcomes. In this report, we present a case of a young patient with non-obstructive hypertrophic cardiomyopathy who presents after a syncopal episode and is found to have an electric storm that is refractory to medical therapy.

Keywords: Arrhythmias; Cardiovascular system; Heart failure; Pacing and electrophysiology.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cardiomyopathy, Hypertrophic* / complications
  • Cardiomyopathy, Hypertrophic* / physiopathology
  • Defibrillators, Implantable
  • Electrocardiography*
  • Humans
  • Male
  • Syncope / etiology
  • Tachycardia, Ventricular / etiology
  • Tachycardia, Ventricular / therapy
  • Ventricular Premature Complexes* / complications
  • Ventricular Premature Complexes* / etiology
  • Ventricular Premature Complexes* / physiopathology