Journal article
Electrical storm in systemic sclerosis: Inside the electroanatomic substrate
World journal of cardiology, Vol.6(10), pp.1127-1130
10/26/2014
DOI: 10.4330/wjc.v6.i10.1127
PMCID: PMC4209440
PMID: 25349658
Abstract
We report the case of a 63-year-old woman affected by a severe form of systemic scleroderma with pulmonary involvement (interstitial fibrosis diagnosed by biopsy and moderate pulmonary hypertension) and cardiac involvement (paroxysmal atrial fibrillation, right atrial flutter treated by catheter ablation, ventricular tachyarrhythmias, previous dual chamber implantable cardioverter defibrillator implant). Because of recurrent electrical storms refractory to iv antiarrhythmic drugs the patient was referred to our institution to undergo catheter ablation. During electrophysiological procedure a 3D shell of cardiac anatomy was created with intracardiac echocardiography pointing out a significant right ventricular dilatation with a complex aneurysmal lesion characterized by thin walls and irregular multiple trabeculae. A substrate-guided strategy of catheter ab-lation was accomplished leading to a complete electrical isolation of the aneurism and to the abolishment of all abnormal electrical activities. The use of advanced strategies of imaging together with electroanatomical mapping added important information to the complex arrhythmogenic substrate and improved efficacy and safety. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.
Details
- Title: Subtitle
- Electrical storm in systemic sclerosis: Inside the electroanatomic substrate
- Creators
- Michela Casella - Centro Cardiologico MonzinoCorrado Carbucicchio - Centro Cardiologico MonzinoEleonora Russo - Centro Cardiologico MonzinoFrancesca Pizzamiglio - Centro Cardiologico MonzinoPaolo Golia - Morgagni Pierantoni Hosp, Dept Cardiovasc Dis, I-27121 Forli, ItalySergio Conti - Centro Cardiologico MonzinoFabrizio Costa - Biosense Webster, I-00040 Pomezia, ItalyAntonio Dello Russo - Centro Cardiologico MonzinoClaudio Tondo - Centro Cardiologico Monzino
- Resource Type
- Journal article
- Publication Details
- World journal of cardiology, Vol.6(10), pp.1127-1130
- DOI
- 10.4330/wjc.v6.i10.1127
- PMID
- 25349658
- PMCID
- PMC4209440
- NLM abbreviation
- World J Cardiol
- ISSN
- 1949-8462
- eISSN
- 1949-8462
- Publisher
- Baishideng Publishing Group Inc
- Number of pages
- 4
- Language
- English
- Date published
- 10/26/2014
- Academic Unit
- Internal Medicine
- Record Identifier
- 9984823096502771
Metrics
2 Record Views