Arrhythmic Storm or Electrical Storm

Female 77 years old with a history of chronic obstructive pulmonary disease by chronic heavy smoking and diabetes mellitus 2 newly diagnosed. Admitted with symptoms of myocardial infarction in the anterior, practiced angioplasty after coronary angiography in which anterior descending artery was identified type III Gensini, dominant circumflex artery with plaque and thrombus grade IV, obstruction of 99% and right coronary artery with plaque in the middle segment obstruction of 75%, everolimus eluting stent is placed at the distal circumflex, being successful with TIMI III and Blush 3. However postoperatively and by monitoring in the ICU, being under dobutamine infusion of tirofiban and develops in the form spontaneous tachyarrhythmia, initially with premature atrial, phenomenon R / T and later development of monomorphic and polymorphic ventricular tachycardia subsequently identified momentarily apparent traces of torsades de pointes, presenting pulseless electrical activity, as well as respiratory arrest, proceeding to completed CPR and support ventilatory mask and reservoir bag, administered amiodarone, adrenaline, as well as magnesium sulfate and calcium gluconate, which hemodynamic stability and recovery of the respiratory and neurological status is achieved. Infusion remains with amiodarone. It is classified as a electrical storm or arrhythmic storm, secondary to ischemic heart disease, no electrolyte disturbance whatsoever documented.