Acute Cerebral Infarction following Ventricular Tachycardia Ablation

Case Report

Austin Cardio & Cardiovasc Case Rep. 2023; 8(2): 1056.

Acute Cerebral Infarction following Ventricular Tachycardia Ablation

Le Dong*; Chen Long

Department of Cardiovascular Medicine, Jiangbei Campus, Zhongda Hospital Affiliated to Southeast University, China

*Corresponding author: Le Dong Department of Cardiovascular Medicine, Jiangbei Campus, Zhongda Hospital Affiliated to Southeast University, Nanjing 210000, Jiangsu Province, China. Email: donglejczh@zcxecl.com

Received: June 14, 2023 Accepted: July 13, 2023 Published: July 20, 2023

Abstract

Ablation is a more effective treatment than drug therapy for ventricular tachycardia, and its safety is increasingly emphasized. This case reports the treatment of acute cerebral infarction following ventricular tachycardia ablation, with prompt restoration of cerebral blood flow and a positive prognosis. These results provide valuable insights for cardiology colleagues.

Keywords: Ablation acute cerebral infarction; Ventricular tachycardia

Introduction

Patient Name: Li XX. Gender: Male. Age: 66. Ethnicity: Han. Admission Date: September 11, 2022.

Chief Complaint: Intermittent chest tightness, palpitations, and chest pain for 24 hours.

Medical History: The patient had no obvious cause of chest tightness and palpitations 24 hours ago, accompanied by pain behind the sternum, which was dull and lasted for about 10 minutes each time. The symptoms were relieved after rest, and amaurosis were accompanied during the attacks, but no syncope occurred.

Past Medical History: The patient had no history of hypertension, diabetes, or cerebral infarction.

Personal History: The patient had a history of occasional drinking and had smoked 3-4 cigarettes a day for 20 years.

Family History: Nothing noteworthy.

Physical Examination: T: 36.5°C, P: 80 bpm, R: 20 bpm, regular. BP: 155/92 mmHg.

The patient was conscious and alert. The breath sounds in both lungs were clear without dry or moist rales, and no pleural friction rub was heard. The heart size was normal, the heart rate was 80 bpm, and the rhythm was regular. The heart sounds were strong, and no pathological murmurs or extra heart sounds were heard in any auscultation areas of the valves. No pericardial friction rub was heard. No edema was found in both lower extremities.

Auxiliary Examination: Table 1