• Am J Emerg Med · Nov 2022

    Case Reports

    The imperfect storm: An uncommon presentation of Chagas disease.

    • Matthew C Johnson and Lulu Wang.
    • Department of Emergency Medicine, Medstar Georgetown University Hospital, United States of America. Electronic address: Mattthew.c.johnson@medstar.net.
    • Am J Emerg Med. 2022 Nov 1; 61: 235.e1235.e3235.e1-235.e3.

    AbstractElectrical storm is defined as three or more sustained episodes of ventricular tachycardia, ventricular fibrillation, or appropriate cardioverter-defibrillator shocks during a 24-h period. These patients are notoriously difficult to manage. We present a case secondary to Chagas disease that was responsive to lidocaine. Although an uncommon presentation, given the large-scale population movement from South America, Chagas has an increased incidence and is an important diagnostic consideration in patients with new onset heart failure, arrhythmia, or electrical storm.Copyright © 2022. Published by Elsevier Inc.

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