COVID-19 as a potential trigger for refractory arrhythmias and electrical storm in a patient with dilated cardiomyopathy: a case report
Arrhythmias occur both in the acute coronavirus disease 2019 (COVID-19) and in the post-acute period, which may be associated with the long-term SARS-CoV-2 persistence. In a case report, patient with primary dilated cardiomyopathy, an implanted cardioverter-defibrillator, recurrent ventricular arrhy...
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| Format: | Article |
| Language: | Russian |
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«FIRMA «SILICEA» LLC
2023-09-01
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| Series: | Российский кардиологический журнал |
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| Online Access: | https://russjcardiol.elpub.ru/jour/article/view/5512 |
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| author | A. M. Osadchy I. A. Makarov A. V. Skoptsova L. B. Mitrofanova A. V. Kamenev S. G. Shcherbak D. S. Lebedev |
| author_facet | A. M. Osadchy I. A. Makarov A. V. Skoptsova L. B. Mitrofanova A. V. Kamenev S. G. Shcherbak D. S. Lebedev |
| author_sort | A. M. Osadchy |
| collection | DOAJ |
| description | Arrhythmias occur both in the acute coronavirus disease 2019 (COVID-19) and in the post-acute period, which may be associated with the long-term SARS-CoV-2 persistence. In a case report, patient with primary dilated cardiomyopathy, an implanted cardioverter-defibrillator, recurrent ventricular arrhythmias, and an electrical storm are presented. The patient was repeatedly hospitalized in a city hospital, where electrical cardioversion, antiarrhythmic therapy, radiofrequency ablation of recurrent ventricular tachycardia regions, including emergency ("lifesaving") combined catheter radiofrequency destruction of the electrical storm substrate, was performed. Subsequently, against the background of ongoing postoperative therapy, massive pulmonary embolism (PE) suddenly developed, which led to the death. Autopsy established that the cause of the patient’s death was massive pulmonary embolism; SARS-CoV-2 and enterovirus was detected in the myocardium. Based on an autopsy study, the patient was diagnosed with primary dilated cardiomyopathy with secondary active chronic lymphocytic myocarditis. |
| format | Article |
| id | doaj-art-da1cc49d0cfb49129ee7b617848ec361 |
| institution | DOAJ |
| issn | 1560-4071 2618-7620 |
| language | Russian |
| publishDate | 2023-09-01 |
| publisher | «FIRMA «SILICEA» LLC |
| record_format | Article |
| series | Российский кардиологический журнал |
| spelling | doaj-art-da1cc49d0cfb49129ee7b617848ec3612025-08-20T03:21:18Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202023-09-0128910.15829/1560-4071-2023-55123902COVID-19 as a potential trigger for refractory arrhythmias and electrical storm in a patient with dilated cardiomyopathy: a case reportA. M. Osadchy0I. A. Makarov1A. V. Skoptsova2L. B. Mitrofanova3A. V. Kamenev4S. G. Shcherbak5D. S. Lebedev6City Hospital № 40 of the Kurortny District; Almazov National Medical Research CenterAlmazov National Medical Research CenterCity Hospital № 40 of the Kurortny DistrictAlmazov National Medical Research CenterAlmazov National Medical Research CenterCity Hospital № 40 of the Kurortny District; St. Petersburg State UniversityAlmazov National Medical Research CenterArrhythmias occur both in the acute coronavirus disease 2019 (COVID-19) and in the post-acute period, which may be associated with the long-term SARS-CoV-2 persistence. In a case report, patient with primary dilated cardiomyopathy, an implanted cardioverter-defibrillator, recurrent ventricular arrhythmias, and an electrical storm are presented. The patient was repeatedly hospitalized in a city hospital, where electrical cardioversion, antiarrhythmic therapy, radiofrequency ablation of recurrent ventricular tachycardia regions, including emergency ("lifesaving") combined catheter radiofrequency destruction of the electrical storm substrate, was performed. Subsequently, against the background of ongoing postoperative therapy, massive pulmonary embolism (PE) suddenly developed, which led to the death. Autopsy established that the cause of the patient’s death was massive pulmonary embolism; SARS-CoV-2 and enterovirus was detected in the myocardium. Based on an autopsy study, the patient was diagnosed with primary dilated cardiomyopathy with secondary active chronic lymphocytic myocarditis.https://russjcardiol.elpub.ru/jour/article/view/5512case reportlong covidsars-cov-2 persistenceelectrical stormradiofrequency ablationventricular tachycardiamyocardial biopsydilated cardiomyopathychronic active myocarditis |
| spellingShingle | A. M. Osadchy I. A. Makarov A. V. Skoptsova L. B. Mitrofanova A. V. Kamenev S. G. Shcherbak D. S. Lebedev COVID-19 as a potential trigger for refractory arrhythmias and electrical storm in a patient with dilated cardiomyopathy: a case report Российский кардиологический журнал case report long covid sars-cov-2 persistence electrical storm radiofrequency ablation ventricular tachycardia myocardial biopsy dilated cardiomyopathy chronic active myocarditis |
| title | COVID-19 as a potential trigger for refractory arrhythmias and electrical storm in a patient with dilated cardiomyopathy: a case report |
| title_full | COVID-19 as a potential trigger for refractory arrhythmias and electrical storm in a patient with dilated cardiomyopathy: a case report |
| title_fullStr | COVID-19 as a potential trigger for refractory arrhythmias and electrical storm in a patient with dilated cardiomyopathy: a case report |
| title_full_unstemmed | COVID-19 as a potential trigger for refractory arrhythmias and electrical storm in a patient with dilated cardiomyopathy: a case report |
| title_short | COVID-19 as a potential trigger for refractory arrhythmias and electrical storm in a patient with dilated cardiomyopathy: a case report |
| title_sort | covid 19 as a potential trigger for refractory arrhythmias and electrical storm in a patient with dilated cardiomyopathy a case report |
| topic | case report long covid sars-cov-2 persistence electrical storm radiofrequency ablation ventricular tachycardia myocardial biopsy dilated cardiomyopathy chronic active myocarditis |
| url | https://russjcardiol.elpub.ru/jour/article/view/5512 |
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