Ventricular Tachycardia Storm in a Patient with an Implanted Cardioverter-Defibrillator following COVID-19 Infection

Ganesh Kasinadhuni; Krishna Prasad; Rajesh Vijayvergiya; Tejinder Singh Malhi

doi:10.18502/jthc.v17i1.9321

Ganesh Kasinadhuni Advanced Cardiac Centre, Post Graduate Institute of Medical, Education and Research, Chandigarh, INDIA.
Krishna Prasad Advanced Cardiac Centre, Post Graduate Institute of Medical, Education and Research, Chandigarh, INDIA.
Rajesh Vijayvergiya Advanced Cardiac Centre, Post Graduate Institute of Medical, Education and Research, Chandigarh, INDIA.
Tejinder Singh Malhi Advanced Cardiac Centre, Post Graduate Institute of Medical, Education and Research, Chandigarh, INDIA.

DOI: https://doi.org/10.18502/jthc.v17i1.9321

Keywords: COVID-19; Myocarditis; Defibrillators, implantable; Tachycardia, ventricular

Abstract

Severe Coronavirus disease 2019 (COVID-19) infection presents with acute respiratory distress syndrome and multiorgan dysfunction. Cardiac involvement is seen in about a quarter of patients, and it can present as acute coronary syndromes, arrhythmias, myocarditis, and thromboembolic events. Ventricular arrhythmias in the setting of COVID-19 infection are usually multifactorial in etiology. There are only a few reports of ventricular tachycardia (VT) storms in patients with COVID-19 infection. We hereby report a case of an elderly man with severe left ventricular systolic dysfunction and a stable cardiac status for the last few years who, following coronary artery bypass graft surgery and implantable cardioverter-defibrillator (ICD) implantation, experienced a VT storm after a COVID-19 infection. The VT storm was controlled using multiple ICD shocks, along with antiarrhythmic drugs. Following his recovery from COVID-19 infection, the patient was asymptomatic at a 3-month follow-up.