Liu Xingji, Adhikari Binay Kumar, Chen Tianlong, Wang Yonggang, Liu Quan, Wang Shudong
Department of Cardiology, the First Hospital of Jilin University, Changchun, Jilin Province, China.
J Int Med Res. 2021 Mar;49(3):300060521997618. doi: 10.1177/0300060521997618.
Electrical storm is a life-threatening emergency condition defined as three or more episodes of ventricular tachycardia or ventricular fibrillation (VF) within 24 hours requiring anti-tachycardia therapy, electrical cardioversion, or defibrillation. However, studies of the incidence of electrical storm after chronic total occlusion-percutaneous coronary intervention (CTO-PCI) are limited, and post-procedural VF after revascularization of CTO has not been described. The purpose of this article was to present a case of post-operative VF electrical storm after revascularization of CTO of the left anterior descending (LAD) artery to determine whether the electrical storm was caused by reperfusion arrhythmia or compromise of either branch vessels or the collateral circulation during intervention.
电风暴是一种危及生命的紧急情况，定义为24小时内发生三次或更多次室性心动过速或心室颤动（VF）发作，需要进行抗心动过速治疗、电复律或除颤。然而，关于慢性完全闭塞性经皮冠状动脉介入治疗（CTO-PCI）后电风暴发生率的研究有限，且CTO血管重建术后的术后VF尚未见报道。本文的目的是介绍一例左前降支（LAD）动脉CTO血管重建术后发生VF电风暴的病例，以确定电风暴是由再灌注心律失常引起，还是由介入过程中分支血管或侧支循环受损所致。
