Electrical storm: Case series and review of management

Uma N Srivatsa, Ramin Ebrahimi, Adel El-Bialy, Robin Y. Wachsner

Research output: Contribution to journalArticle

18 Scopus citations

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 β-blockers in place of intravenous lidocaine is critically examined.

Original languageEnglish (US)
Pages (from-to)237-246
Number of pages10
JournalJournal of Cardiovascular Pharmacology and Therapeutics
Volume8
Issue number3
StatePublished - Sep 2003
Externally publishedYes

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Keywords

  • Electrical storm
  • Intravenous amiodarone
  • Sudden death
  • Ventricular fibrillation
  • Ventricular tachycardia

ASJC Scopus subject areas

  • Pharmacology
  • Cardiology and Cardiovascular Medicine

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