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