Vadillo Martín Pablo, Cabrera Ramos Mercedes, Montilla Padilla Isabel, Melero Polo Jorge, Ramos Maqueda Javier
Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.
JACC Case Rep. 2025 Jan 15;30(2):102789. doi: 10.1016/j.jaccas.2024.102789.
The postacute myocardial infarction electrical storm is a life-threatening entity. Resistance to ischemia in Purkinje fibers may be the origin of short-coupled premature ventricular contractions that trigger severe arrhythmic events. We present a case where the use of emergency catheter ablation, guided by a 3D navigation system and an ultra-high-density mapping catheter, successfully terminated the arrhythmic storm. This case highlights the crucial role of advanced mapping and ablation techniques in managing complex postinfarction arrhythmias and provides valuable insights that may enhance future clinical practice in similar critical situations.
急性心肌梗死后电风暴是一种危及生命的情况。浦肯野纤维对缺血的耐受性可能是引发严重心律失常事件的短联律间期室性早搏的起源。我们报告一例在三维导航系统和超高密度标测导管引导下，通过紧急导管消融成功终止心律失常风暴的病例。该病例突出了先进的标测和消融技术在处理复杂的心肌梗死后心律失常中的关键作用，并提供了宝贵的见解，可能会改善未来在类似危急情况下的临床实践。
