Successful treatment of electrical storm in a patient with severe heart failure: a case report

Electrical storm (ES) is a potentially life-threatening condition, the incidence of which increases with the number of patients with implantable cardioverter-defibrillators. One of the common causes of its development is coronary artery disease. Stopping ES is a complex task that requires the participation of a multidisciplinary team. This case report describes successful treatment of ES in a patient with heart failure of ischemic origin with a left ventricular ejection fraction of 19%, severe myocardial scarring, and a chronic left ventricular apex aneurysm. The patient developed multiple (up to 25/day) episodes of hemodynamically stable, symptomatic, monomorphic ventricular tachycardia associated with myocardial scarring.