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Svær dysautonomi som følge af intrakranial blødning kan udløse elektrisk storm med ventrikelflimren

Mette Lindelof1, Helene Jensen1, Asgier Snær Vilhjamsson1, Kajsa Kemppi1 & Ulla Høst2 1) Neurologisk Afdeling, Herlev Hospital 2) Kardiologisk Afdeling, Herlev Hospital Ugeskr Læger 2015;177:V04150289
Ugeskr Læger 2015;177:V04150289
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Severe dysautonomy as a result of intra-cranial bleeding can cause an electrical storm with auricular fibrillation
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.
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