Reversal of electrical storm after intraaortic balloon pump counterpulsation in a patient with acute myocardial infarction

- Electrical storm is the clustering of hemodynamically destabilizing ventricular tachycardia or ventricular fibrillation. Effective management of electrical storm during acute myocardial infarction is a challenge
- We report a case who had a witnessed cardiac arrest with ventricular fibrillation.Although he was defibrillated 10 times, the ventricular arrhythmias were still not under control. The electrical storm was successful terminated under vasoactive agents and IABP support.
- With the IABP support for more than half an hour, the patient was spontaneous recanalization of the occluded infarct-related artery
- IABP as a temporary mechanical circulatory support for improving hemodynamic and termination of the electrical storm played an important role.