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- Title
Electrical storm: case series and review of management.
- Authors
Srivatsa, Uma N.; Ebrahimi, Ramin; El-Bialy, Adel; Wachsner, Robin Y.
- Abstract
Electrical storm is defined as a recurrent episode of hemodynamically destabilizing ventricular tachyarrhythmia that usually requires electrical cardioversion or defibrillation. We describe three cases presenting with electrical storm under differing circumstances: (1) a 57-year-old man with ST-elevation myocardial infarction within 1 week of a posterior circulation stroke who developed refractory sustained ventricular tachycardia 10 days after an acute myocardial infarction; (2) a 65-year-old man who developed polymorphic ventricular tachycardia and ventricular fibrillation following dobutamine echocardiography; and (3) a 20-year-old woman who developed intractable ventricular fibrillation following an overdose of a weight-reduction pill. The management of electrical storm is discussed, and evolving literature supporting the routine use of intravenous amiodarone and beta-blockers in place of intravenous lidocaine is critically examined.
- Subjects
MYOCARDIAL infarction; ELECTRIC anesthesia; CORONARY disease; TACHYCARDIA; ARRHYTHMIA; DOBUTAMINE
- Publication
Journal of Cardiovascular Pharmacology & Therapeutics, 2003, Vol 8, Issue 3, p237
- ISSN
1074-2484
- Publication type
journal article
- DOI
10.1177/107424840300800309