TITLE:
Electrical Storms after Levonorgestrel (Synthetic Progestin)-Releasing Intra-Vaginal Device Insertion. A Case Report and a Short Review of Literature
AUTHORS:
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
KEYWORDS:
Levonorgestrel, Progesterone, Ventricular Arrhythmias
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.4,
April
13,
2018
ABSTRACT: 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.