{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:50:41Z","timestamp":1753876241577,"version":"3.41.2"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T00:00:00Z","timestamp":1739491200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Intramyocardial calcifications are rare and associated with conditions such as myocardial infarction, rheumatic heart disease, and calcium metabolism disorders. These calcifications carry significant prognostic value, often leading to severe complications like ventricular arrhythmias, increased morbidity, and mortality. They can pose challenges for treatment, especially when ablation is ineffective due to the calcifications acting as physical barriers.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 43-year-old male with a history of extensive myocardial calcifications and recurrent ventricular tachycardia (VT) presented with a prolonged electrical storm, despite having an implantable cardioverter-defibrillator (ICD). Multiple ICD shocks and overdrive pacing temporarily restored sinus rhythm, but VT recurred. Initial management with amiodarone and electrical cardioversions failed to control the arrhythmias. The patient required sedation and intubation for 36\u2005h. High-dose amiodarone and general anaesthesia eventually stabilized the arrhythmia. Post-sedation, the patient was discharged with oral amiodarone and bisoprolol, without further arrhythmia.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>This case underscores the challenges in managing electrical storms in patients with extensive intramyocardial calcifications, which hinder ablation procedure and contribute to persistent arrhythmias. Effective management of life-threatening arrhythmias in these patients requires a comprehensive approach, including multimodality cardiac imaging, collaborative decision-making by a multidisciplinary team, advanced antiarrhythmic therapy, and sedation when necessary.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaf068","type":"journal-article","created":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T07:10:07Z","timestamp":1739517007000},"source":"Crossref","is-referenced-by-count":1,"title":["The role of multimodal cardiac imaging in managing electrical storms in severe heart calcifications: a case report"],"prefix":"10.1093","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-0542-5921","authenticated-orcid":false,"given":"Adrienne","family":"Lejeune","sequence":"first","affiliation":[{"name":"Department of Cardiology, Universit\u00e9 catholique de Louvain (UCL) , CHU UCL Namur Site Godinne, Av. Dr. G. Th\u00e9rasse, 1, Yvoir 5530 ,","place":["Belgium"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominique","family":"Blommaert","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Universit\u00e9 catholique de Louvain (UCL) , CHU UCL Namur Site Godinne, Av. Dr. G. Th\u00e9rasse, 1, Yvoir 5530 ,","place":["Belgium"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernard","family":"Cosyns","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Centrum voor Hart-en Vaatziekten, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel (VUB) , Laarbeeklaan 101, Brussels 1090 ,","place":["Belgium"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julien","family":"Higny","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Universit\u00e9 catholique de Louvain (UCL) , CHU UCL Namur Site Godinne, Av. Dr. G. Th\u00e9rasse, 1, Yvoir 5530 ,","place":["Belgium"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria-Luiza","family":"Luchian","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Universit\u00e9 catholique de Louvain (UCL) , CHU UCL Namur Site Godinne, Av. Dr. G. Th\u00e9rasse, 1, Yvoir 5530 ,","place":["Belgium"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,2,14]]},"reference":[{"key":"2025052601113534000_ytaf068-B1","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.jcct.2014.10.004","article-title":"Myocardial calcifications: pathophysiology, etiologies, differential diagnoses, and imaging findings","volume":"9","author":"Nance","year":"2015","journal-title":"J Cardiovasc Comput Tomogr"},{"key":"2025052601113534000_ytaf068-B2","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1111\/echo.15357","article-title":"Extensive intra-myocardial calcifications: value of multimodality imaging","volume":"39","author":"Sozzi","year":"2022","journal-title":"Echocardiography"},{"key":"2025052601113534000_ytaf068-B3","doi-asserted-by":"crossref","first-page":"2985","DOI":"10.2169\/internalmedicine.8979-21","article-title":"Pathology findings of coconut atrium","volume":"61","author":"Nonaka","year":"2022","journal-title":"Intern Med"},{"key":"2025052601113534000_ytaf068-B4","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1097\/RTI.0b013e31806ad289","article-title":"Diffuse left ventricular myocardial calcification in the setting of sepsis on CT imaging","volume":"22","author":"Simonson","year":"2007","journal-title":"J Thorac Imaging"},{"key":"2025052601113534000_ytaf068-B5","doi-asserted-by":"crossref","first-page":"1543","DOI":"10.1053\/j.jvca.2024.03.022","article-title":"Caseous calcification of the interventricular septum leading to left ventricular outflow tract obstruction in the setting of a normal mitral valve annulus","volume":"38","author":"AbuRahma","year":"2024","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"2025052601113534000_ytaf068-B6","first-page":"6707690","article-title":"Caseous intracardiac calcification: a diagnostic enigma","volume":"2019","author":"Findlay","year":"2019","journal-title":"Case Rep Cardiol"},{"key":"2025052601113534000_ytaf068-B7","doi-asserted-by":"crossref","first-page":"E3","DOI":"10.14744\/AnatolJCardiol.2022.2416","article-title":"Left ventricular ring calcification in a patient with sudden cardiac arrest and Q-wave ST elevation","volume":"27","author":"Polat","year":"2023","journal-title":"Anatol J Cardiol"},{"key":"2025052601113534000_ytaf068-B8","doi-asserted-by":"crossref","first-page":"1313","DOI":"10.12998\/wjcc.v12.i7.1313","article-title":"Reversal of complete atrioventricular block in dialysis patients following parathyroidectomy: a case report","volume":"12","author":"Xu","year":"2024","journal-title":"World J Clin Cases"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytaf068\/61893385\/ytaf068.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/9\/5\/ytaf068\/61893385\/ytaf068.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/9\/5\/ytaf068\/61893385\/ytaf068.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T05:11:46Z","timestamp":1748236306000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytaf068\/8013582"}},"subtitle":[],"editor":[{"given":"Edgar Francisco","family":"Carrizales Sepulveda","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Sebastian Ekkehard","family":"Beyer","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Christoph","family":"Sinning","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Sheetal Vasundara","family":"Mathai","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2025,2,14]]},"references-count":8,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5,2]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytaf068","relation":{},"ISSN":["2514-2119"],"issn-type":[{"type":"electronic","value":"2514-2119"}],"subject":[],"published-other":{"date-parts":[[2025,5]]},"published":{"date-parts":[[2025,2,14]]},"article-number":"ytaf068"}}