Electrical storm in dilated cardiomyopathy treated using epicardial radiofrequency ablation as a first line therapy

Massimiliano Faustino; Tullio Agricola; Borejda Xyheri; Enrico Di Girolamo; Luigi Leonzio; Carmine Pizzi

doi:10.1016/j.ihj.2016.01.010

Electrical storm in dilated cardiomyopathy treated using epicardial radiofrequency ablation as a first line therapy

Indian Heart J. 2016 Sep;68 Suppl 2(Suppl 2):S218-S222. doi: 10.1016/j.ihj.2016.01.010. Epub 2016 Jan 29.

Authors

Massimiliano Faustino¹, Tullio Agricola¹, Borejda Xyheri², Enrico Di Girolamo³, Luigi Leonzio³, Carmine Pizzi⁴

Affiliations

¹ Electrophysiology Unit, Cardiovascular Department, "Spirito Santo" Hospital, ASL Pescara, Pescara, Italy.
² Department of Specialized, Experimental and Diagnostic Medicine, University of Bologna, Italy.
³ Cardiovascular Department, ASL Lanciano-Vasto-Chieti, Italy.
⁴ Department of Specialized, Experimental and Diagnostic Medicine, University of Bologna, Italy. Electronic address: carmine.pizzi@unibo.it.

Abstract

We report a patient with non-ischemic dilated cardiomyopathy and low left ventricular systolic function (28%) presenting with an electrical storm originated in epicardial scar and ablated by radiofrequency. This case report suggests that a strategy of epicardial catheter ablation is reasonable for the patient presenting with electrical storm related to structural disease with a low left ventricular ejection fraction.

Keywords: Catheter ablation; Dilated cardiomyopathy; Epicardial; Ventricular arrhythmias.

Publication types

Case Reports

MeSH terms

Body Surface Potential Mapping / methods*
Cardiomyopathy, Dilated / complications*
Cardiomyopathy, Dilated / physiopathology
Catheter Ablation / methods*
Heart Conduction System / physiopathology
Heart Conduction System / surgery*
Heart Rate / physiology*
Humans
Male
Middle Aged
Pericardium
Tachycardia, Ventricular / etiology*
Tachycardia, Ventricular / physiopathology
Tachycardia, Ventricular / surgery