{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T02:08:43Z","timestamp":1780106923043,"version":"3.54.0"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T00:00:00Z","timestamp":1778889600000},"content-version":"vor","delay-in-days":16,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pregnancy involves numerous physiological changes in the cardiovascular system to guarantee foetal metabolic demands. In patients with cardiovascular disease, these adaptations can decompensate their underlying condition, leading to maternal and obstetric complications.<\/jats:p>\n                    <jats:p>We report a case of arrhythmogenic cardiomyopathy presenting as an electrical storm during pregnancy, highlighting both diagnostic and management challenges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>A 35-year-old pregnant woman at 18 weeks of gestation presented with an electrical storm, experiencing multiple episodes of sustained ventricular tachycardia. Diagnostic tests, including a non-contrast cardiac magnetic resonance, were suggestive of biventricular arrhythmogenic cardiomyopathy. After a multidisciplinary team discussion, the patient was treated with antiarrhythmic agents, and an implantable cardioverter-defibrillator was implanted. She was discharged after 10 days, and a delivery plan was made for a scheduled induction at 38 weeks, which proceeded without complications. Genetic testing revealed a desmoplakin (DSP) mutation, further supporting the diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Pregnancy can precipitate arrhythmic events, particularly in women with underlying cardiovascular disease. This case illustrates how pregnancy-induced haemodynamic stress may trigger previously undiagnosed cardiomyopathy. Management of such cases requires a multidisciplinary approach, adherence to clinical guidelines, and careful balancing of maternal and foetal risks. The patient\u2019s successful management, including guided antiarrhythmic therapy and device implantation with minimal radiation exposure, highlights the importance of individualized care and the role of a dedicated cardio-obstetrics team.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytag370","type":"journal-article","created":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T11:49:24Z","timestamp":1778845764000},"source":"Crossref","is-referenced-by-count":0,"title":["Electrical storm in pregnancy uncovering an arrhythmogenic cardiomyopathy: a case report"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-4110-3725","authenticated-orcid":false,"given":"Sara","family":"S\u00f3\u00f1ora-L\u00f3pez","sequence":"first","affiliation":[{"name":"Cardiology Department, Vall d\u2019Hebron University Hospital (HUVH) , Pg. de la Vall d\u2019Hebron 119, Barcelona 08035 ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V\u00edctor","family":"Gonz\u00e1lez-Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Cardiology Department, Vall d\u2019Hebron University Hospital (HUVH) , Pg. de la Vall d\u2019Hebron 119, Barcelona 08035 ,","place":["Spain"]},{"name":"Vall d\u2019Hebron Research Institute (VHIR) , Pg Vall d'Hebron 129, Horta-Guinard\u00f3, Barcelona 08035 ,","place":["Spain"]},{"name":"Biomedical Research Networking Centre on Cardiovascular Diseases (CIBERCV) , Av. Monforte de Lemos 3-5, Madrid 2809 ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8841-2581","authenticated-orcid":false,"given":"Jaume","family":"Francisco-Pascual","sequence":"additional","affiliation":[{"name":"Cardiology Department, Vall d\u2019Hebron University Hospital (HUVH) , Pg. de la Vall d\u2019Hebron 119, Barcelona 08035 ,","place":["Spain"]},{"name":"Vall d\u2019Hebron Research Institute (VHIR) , Pg Vall d'Hebron 129, Horta-Guinard\u00f3, Barcelona 08035 ,","place":["Spain"]},{"name":"Biomedical Research Networking Centre on Cardiovascular Diseases (CIBERCV) , Av. Monforte de Lemos 3-5, Madrid 2809 ,","place":["Spain"]},{"name":"Faculty of Medicine, Autonomous University of Barcelona , Av. de Can Dom\u00e8nech, Bellaterra 08193 ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6828-5928","authenticated-orcid":false,"given":"Laura","family":"Galian-Gay","sequence":"additional","affiliation":[{"name":"Cardiology Department, Vall d\u2019Hebron University Hospital (HUVH) , Pg. de la Vall d\u2019Hebron 119, Barcelona 08035 ,","place":["Spain"]},{"name":"Vall d\u2019Hebron Research Institute (VHIR) , Pg Vall d'Hebron 129, Horta-Guinard\u00f3, Barcelona 08035 ,","place":["Spain"]},{"name":"Biomedical Research Networking Centre on Cardiovascular Diseases (CIBERCV) , Av. Monforte de Lemos 3-5, Madrid 2809 ,","place":["Spain"]},{"name":"Faculty of Medicine, Autonomous University of Barcelona , Av. de Can Dom\u00e8nech, Bellaterra 08193 ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0893-3692","authenticated-orcid":false,"given":"Antonia","family":"Pijuan-Dom\u00e8nech","sequence":"additional","affiliation":[{"name":"Cardiology Department, Vall d\u2019Hebron University Hospital (HUVH) , Pg. de la Vall d\u2019Hebron 119, Barcelona 08035 ,","place":["Spain"]},{"name":"Vall d\u2019Hebron Research Institute (VHIR) , Pg Vall d'Hebron 129, Horta-Guinard\u00f3, Barcelona 08035 ,","place":["Spain"]},{"name":"Biomedical Research Networking Centre on Cardiovascular Diseases (CIBERCV) , Av. Monforte de Lemos 3-5, Madrid 2809 ,","place":["Spain"]},{"name":"Faculty of Medicine, Autonomous University of Barcelona , Av. de Can Dom\u00e8nech, Bellaterra 08193 ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,5,16]]},"reference":[{"key":"2026052921412180800_ytag370-B1","author":"Felker"},{"key":"2026052921412180800_ytag370-B2","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1038\/s41569-020-0390-z","article-title":"Pregnancy and cardiovascular disease","volume":"17","author":"Ramlakhan","year":"2020","journal-title":"Nat Rev Cardiol"},{"key":"2026052921412180800_ytag370-B3","doi-asserted-by":"crossref","first-page":"e884","DOI":"10.1161\/CIR.0000000000000772","article-title":"Cardiovascular considerations in caring for pregnant patients: a scientific statement from the American Heart Association","volume":"141","author":"Mehta","year":"2020","journal-title":"Circulation"},{"key":"2026052921412180800_ytag370-B4","doi-asserted-by":"crossref","first-page":"348","DOI":"10.31083\/j.rcm2509348","article-title":"The 2023 European Task Force Criteria for Diagnosis of Arrhythmogenic Cardiomyopathy: historical background and review of main changes","volume":"25","author":"Graziano","year":"2024","journal-title":"Rev Cardiovasc Med"},{"key":"2026052921412180800_ytag370-B5","doi-asserted-by":"crossref","first-page":"2615","DOI":"10.1016\/j.jacep.2023.08.020","article-title":"The diagnostic value of the 12-lead ECG in arrhythmogenic left ventricular cardiomyopathy: novel ECG signs","volume":"9","author":"Cal\u00f2","year":"2023","journal-title":"JACC Clin Electrophysiol"},{"key":"2026052921412180800_ytag370-B6","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1161\/CIRCULATIONAHA.116.026681","article-title":"Burden of arrhythmia in pregnancy","volume":"135","author":"Vaidya","year":"2017","journal-title":"Circulation"},{"key":"2026052921412180800_ytag370-B7","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.118.009395","article-title":"Neonatal and maternal outcomes in pregnant women with cardiac disease","volume":"7","author":"Owens","year":"2018","journal-title":"J Am Heart Assoc"},{"key":"2026052921412180800_ytag370-B8","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1136\/heartjnl-2015-308624","article-title":"Pregnancy course and outcomes in women with arrhythmogenic right ventricular cardiomyopathy","volume":"102","author":"Hodes","year":"2016","journal-title":"Heart"},{"key":"2026052921412180800_ytag370-B9","doi-asserted-by":"crossref","first-page":"1324","DOI":"10.3390\/biom12091324","article-title":"Myocarditis-like episodes in patients with arrhythmogenic cardiomyopathy: a systematic review on the so-called hot-phase of the disease","volume":"12","author":"Bariani","year":"2022","journal-title":"Biomolecules"},{"key":"2026052921412180800_ytag370-B10","doi-asserted-by":"crossref","first-page":"978","DOI":"10.1161\/CIRCULATIONAHA.125.073919","article-title":"Prognostic role of myocarditis-like episodes and their treatment in patients with pathogenic desmoplakin variants","volume":"152","author":"Gasperetti","year":"2025","journal-title":"Circulation"},{"key":"2026052921412180800_ytag370-B11","doi-asserted-by":"crossref","first-page":"1872","DOI":"10.1161\/CIRCULATIONAHA.119.044934","article-title":"Desmoplakin cardiomyopathy, a fibrotic and inflammatory form of cardiomyopathy distinct from typical dilated or arrhythmogenic right ventricular cardiomyopathy","volume":"141","author":"Smith","year":"2020  9","journal-title":"Circulation"},{"key":"2026052921412180800_ytag370-B12","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1093\/eurheartj\/ehae571","article-title":"Clinical features and outcomes in carriers of pathogenic desmoplakin variants","volume":"46","author":"Gasperetti","year":"2025","journal-title":"Eur Heart J"},{"key":"2026052921412180800_ytag370-B13","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCGEN.121.003672","article-title":"Variant location is a novel risk factor for individuals with arrhythmogenic cardiomyopathy due to a desmoplakin (DSP) truncating variant","volume":"16","author":"Hoorntje","year":"2023","journal-title":"Circ Genom Precis Med"},{"key":"2026052921412180800_ytag370-B14","doi-asserted-by":"crossref","first-page":"4462","DOI":"10.1093\/eurheartj\/ehaf193","article-title":"2025 ESC guidelines for the management of cardiovascular disease and pregnancy","volume":"46","author":"De Backer","year":"2025","journal-title":"Eur Heart J"}],"container-title":["European Heart Journal - 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