Electrical Storms after Levonorgestrel (Synthetic Progestin)-Releasing Intra-Vaginal Device Insertion. A Case Report and a Short Review of Literature  

作　　者：Sergio Fasullo Giorgio Maringhini Piero Fasullo Filippo Ganci Arcangelo Giamporcaro Sebastiano Scalzo Fernanda Pipitone Vito Pinto Graziella Vetrano Gabriella Terrazzino Stefania Davì Nicolò Renda Antonio Maiorana 

机构地区：[1]Division of Cardiology “Paolo Borsellino”, G.F. Ingrassia Hospital, Palermo, Italy [2]Operative Unit of Gynecology, S. Antonio Abate Hospital, Trapani, Italy [3]Chemistry and Pharmaceutical Technologies, University of Palermo, Palermo, Italy [4]Psychiatry, CTA La Rinascita, Palermo, Italy [5]Operative Unit of Gynecology, ARNAS Civico, Palermo, Italy

出　　处：《Open Journal of Obstetrics and Gynecology》2018年第4期338-343,共6页妇产科期刊（英文）

摘　　要：We report a case of arrhythmic storm in a patient with recent vaginal insertion of a device with release of levonorgestrel (synthetic progestin). A woman of 60 years was hospitalized for runs of monomorphic sustained ventricular tachycardia. She received a vaginal device levonorgestrel-releasing 2 days before admission. No history of associated cardiovascular or thyroid disease or risk factors was reported. Laboratory parameters as well as ECG and echocardiogram were normal. After 48 hours from removal of the vaginal device, the patient was asymptomatic and showed only single ectopic beats, sometimes in pairs. The subsequent coronary angiography, electrophysiological study and cardiac magnetic resonance resulted negative.We report a case of arrhythmic storm in a patient with recent vaginal insertion of a device with release of levonorgestrel (synthetic progestin). A woman of 60 years was hospitalized for runs of monomorphic sustained ventricular tachycardia. She received a vaginal device levonorgestrel-releasing 2 days before admission. No history of associated cardiovascular or thyroid disease or risk factors was reported. Laboratory parameters as well as ECG and echocardiogram were normal. After 48 hours from removal of the vaginal device, the patient was asymptomatic and showed only single ectopic beats, sometimes in pairs. The subsequent coronary angiography, electrophysiological study and cardiac magnetic resonance resulted negative.

关 键 词：LEVONORGESTREL PROGESTERONE Ventricular ARRHYTHMIAS 

分 类 号：R5[医药卫生—内科学]