Idiopathic Cardiac Electrical Storm

Davis, Jonathan E.; Curtis, Liesl A.; Rashid, Haroon

doi:10.1016/j.jemermed.2007.03.001

Cited by 5 publications

(6 citation statements)

References 18 publications

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“…Typically, electrical storms have a poor prognosis; they are defined as three or more distinct episodes of ventricular fibrillation, or hemodynamically destabilizing ventricular tachycardia occurring within a 24-h period, typically requiring treatment with electrical cardioversion or defibrillation ( 4 ).…”

Section: Discussionmentioning

confidence: 99%

“…Electrical storm (ES) is a dramatic and life-threatening syndrome which is defined by three or more sustained episodes of ventricular tachycardia (VT), ventricular fibrillation (VF), or appropriate shocks from an implantable cardioverter-defibrillator within 24 h ( 1 – 3 ). This pathology is may cause fatal arrhythmia in certain patients with severe heart disease ( 4 , 5 ). Once an electrical storm occurs, the control of ventricular tachycardia/fibrillation using standard treatment alone is difficult ( 6 – 9 ).…”

Section: Introductionmentioning

confidence: 99%

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Successful treatment of cardiac electrical storm in dilated cardiomyopathy using esmolol: A case report

Zhou

Zhang

et al. 2016

Experimental and Therapeutic Medicine

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The present study reports a case of electrical storm occurring in a 43-year-old woman with dilated cardiomyopathy. The patient suffered from a cardiac electrical storm, with 98 episodes of ventricular tachycardia rapidly degenerating to ventricular fibrillation in hospital. The patient was converted with a total of 120 defibrillations. Recurrent ventricular tachycardia/fibrillation was initiated by premature ventricular beats. The patient did not respond to the use of amiodaronum. However, the administration of esmolol stabilized the patient's heart rhythm. A moderate dose of the β-blocker esmolol, administered as an 0.5-mg intravenous bolus injection followed by an infusion at a rate of 0.15 mg/kg/min, inhibited the recurrence of ventricular fibrillation and normalized the electrocardiographic pattern. The results suggest that esmolol may be able to improve the survival rate of patients with electrical storm in dilated cardiomyopathy and should be considered as a primary therapy in the management of cardiac electrical storms.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Successful treatment of cardiac electrical storm in dilated cardiomyopathy using esmolol: A case report

Zhou

Zhang

et al. 2016

Experimental and Therapeutic Medicine

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“…Data derived from the defibrillator devices were reviewed to determine the dates on which electrical heart storms occurred. Electrical heart storms were defined as three or more episodes of ventricular tachycardia or ventricular fibrillation daily . Cosmophysical data for the same observation period were collected from the National Oceanic Atmospheric Administration, National Geophysical Data Center, and National Space Weather Prediction Center in the United States and the Izmiran Institute, Russian Academy of Sciences, Russia .…”

Section: Methodsmentioning

confidence: 99%

Association of Time of Occurrence of Electrical Heart Storms with Environmental Physical Activity

Stoupel

Kusniec

Golovchiner

et al. 2014

Pacing Clinical Electrophis

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“…The majority of patients with monomorphic VT storm have structural heart disease, but monomorphic VT storms can occur in structurally normal hearts on rare occasions [16,17] (Fig. 2).…”

Section: Monomorphic Vt Storms In Structurally Normal Heartsmentioning

confidence: 99%

Management of electrical storm: The mechanism matters

Maruyama

2014

Journal of Arrhythmia

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An electrical storm is a life‐threatening syndrome that is characterized by clustering of recurrent episodes of ventricular tachycardia (VT) or ventricular fibrillation (VF) within a relatively short period of time. Electrical storms occur in a wide variety of conditions, and successful treatment depends on a correct understanding of the mechanism underlying the recurrent arrhythmias. Management of electrical storms is challenging, but classifying patients according to the type of recurrent arrhythmia (monomorphic VT or polymorphic VT/VF) and the presence or absence of structural heart disease would aid differential diagnosis and allow for more specific therapies.

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Idiopathic Cardiac Electrical Storm

Cited by 5 publications

References 18 publications

Successful treatment of cardiac electrical storm in dilated cardiomyopathy using esmolol: A case report

Successful treatment of cardiac electrical storm in dilated cardiomyopathy using esmolol: A case report

Association of Time of Occurrence of Electrical Heart Storms with Environmental Physical Activity

Management of electrical storm: The mechanism matters

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