Svaer dysautonomi som fölge af intrakranial blödning kan udlöse elektrisk storm med ventrikelflimren
Sammanfattning
A 69-year-old woman with a medical history of stroke and an ICD device due to torsade de pointes was admitted with a right basal ganglia haemorrhage. In the hours
after admission the patient’s condition severely declined and she developed fever, hypertension and flushing consistent with autonomic dysfunction with sympathetic
storming. ICD interrogation revealed electrical storm with 138 appropriate shocks delivered at the night of admission. We wish to draw attention to the close link between
brain and heart, which in predisposed patients with a new stroke can cause malignant arrhythmias.