20 days before admission | Symptom onset (cough and dizziness). |
6 days before admission | Persistent fever unresponsive to antipyretic drugs and gradually worsening shortness of breath. |
Admission | Diagnosis of pneumonia, suspected for coronavirus disease (COVID-19), with two real-time reverse transcription–polymerase chain reaction (RT–PCR) assays on nasopharyngeal swabs negative for SARS-CoV-2 infection. |
Day 1–7 | Non-invasive ventilation and antibiotic therapy. |
Day 8 | Electrical storm due to sustained episodes of ventricular tachycardia (VT) in absence of acute cardiac precipitating factors. Device detection of sustained and non-sustained VT episodes, started from the onset of COVID-19-related symptoms. |
Day 9 | Substrate-based VT catheter ablation targeting local abnormal ventricular activity (LAVA) with a remote magnetic navigation system. |
Days 10–14 | Absence of VT recurrence. Third nasopharyngeal swab positive for SARS-CoV-2 infection. Resolution of COVID-19 pneumonia. |
Day 15 | Discharge in home isolation. |
Two months after discharge | Absence of ICD shocks. |