CONGRESS ABSTRACT

Background: Electrical storm (ES) and cardiogenic shock (CS) frequently coexist, sustaining a vicious cycle driven by sympathetic overactivation, malignant ventricular arrhythmias and hemodynamic collapse. Management is particularly challenging when beta-blockade and catecholamine escalation are limited by severe hypotension and pro-arrhythmic risk. Case report: A 74-year-old man with end-stage non-ischemic…

A 78-year-old patient with arterial hypertension, paroxysmal atrial fibrillation, prior ischemic stroke with post-ischemic epilepsy, active smoking, and Kartagener syndrome presented to the Emergency Department for repeated vomiting and fever; the home medication history was initially unavailable. On arrival, blood pressure was 90/60 mmHg and oxygen saturation 95%. Arterial…

INTRODUCTION: Flecainide is a class Ic antiarrhythmic drug, approved for the control of supraventricular and ventricular arrhythmias in the absence of structural heart disease. lacosamide is an antiepileptic drug approved as monotherapy for the treatment of partial seizures with or without secondary generalization. Both drugs act by blocking fast…

A 56-year-old man was admitted for palpitations and near-syncope. ECG documented sustained monomorphic ventricular tachycardia (VT), with QRS positivity in V3–V6 and inferior leads, suggesting a RVOT origin. Medical history included stage I pulmonary sarcoidosis treated with oral corticosteroids (OCS), stage II seminoma treated with left orchiectomy and chemotherapy…

Out-of-hospital cardiac arrest (OHCA) is a public health problem that affects approximately 800,000 people each year in Europe and the United States. Despite technological advances and organizational efforts, survival remains extremely low, still below 10%. The establishment of structured multicenter registries represents a fundamental tool for identifying the most…

Background Nowadays sudden cardiac death (SCD) remains a major cause of death, despite the recent progress in prevention and interventions of cardiac disease . In case of transient risk of SCD, the use of a wearable cardioverter defibrillator (WCD) is reccomende in current guidelines . The purpose of this…

Long QT syndrome (LQTS) is a genetic channelopathy with a prevalence of approximately 1 in 2000. Type 2 (LQT2), caused by KCNH2 gene variants affecting the IKr current, is particularly prone to life-threatening arrhythmias triggered by sudden noises, emotional stress, or bradycardia. In the acute setting of an electrical…