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Revista Colombiana de Cardiología
Print version ISSN 0120-5633
Abstract
RESTREPO, José A.; RAMIREZ, Juan D.; SAENZ, Luis C. and RODRIGUEZ, Diego. Electrical storm after acute myocardial infarction in patients with ventricular apical thrombus newly formed left. Rev. Colomb. Cardiol. [online]. 2016, vol.23, n.1, pp.70.e1-70.e4. ISSN 0120-5633. https://doi.org/10.1016/j.rccar.2015.06.006.
The electric storm after acute myocardial infarction is a life-threatening entity which can be triggered by ischemia secondary to active coronary artery disease; however, myocardial and conduction system injury may trigger the onset of ventricular premature beats, which can be involved as triggers of complex ventricular arrhythmias. The proper identification of these, and other potential triggers of ventricular tachycardia, it is important to establish the correct treatment leading to proper control of the storm. A case of a patient with arrhythmic storm triggered by frequent ventricular extrasystoles with short coupling is presented. It showed R on T phenomenon, and was refractory to pharmacological management, which was successfully treated with radiofrequency catheter ablation.
Keywords : Catheter ablation; Acute myocardial infarction; Ventricular tachycardia.