Coronavirus disease 2019 (COVID-19) is associated with various cardiovascular manifestations, including myocarditis, myocardial infarction, and arrhythmias. A prothrombotic state is the primary underlying pathogenic mechanism. While cardiac arrhythmias manifest more commonly amongst critically ill COVID-19 populations, ventricular arrhythmias have been reported only in few cases. This report describes a case of a 95-year-old African American man with COVID-19, who developed sustained monomorphic ventricular tachycardia, which progressed to an electrical storm. The case highlights the importance of high clinical suspicion, early recognition of electrical abnormalities in patients with active COVID-19 infection, and its ability to precipitate fatal ventricular arrhythmia. Also, we provide a literature review on the electrical storm in COVID-19 patients, highlighting the pathophysiologic mechanisms and the management of this deadly arrhythmia.
【저자키워드】 COVID-19, myocarditis, ventricular arrhythmias, monomorphic ventricular tachycardia, electrical storm, 【초록키워드】 Coronavirus disease 2019, arrhythmia, Cardiac arrhythmia, Critically ill, COVID-19 infection, management, Patient, Manifestations, Myocardial infarction, Arrhythmias, African American, mechanism, COVID-19 patients, literature review, Tachycardia, clinical suspicion, pathogenic, prothrombotic state, abnormality, while, populations, highlight, reported, electrical, sustained, highlighting, fatal ventricular arrhythmia, monomorphic, pathophysiologic, progressed, ventricular, with COVID-19, 【제목키워드】 review, storm, current,