Skip to main content
SpringerLink
Log in

Temporary ventricular overdrive pacing for electrical storm after coronary artery bypass grafting

  • Case Report
  • Published:
General Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

A 57-year-old man who had been receiving chemotherapy for multiple myeloma complained of chest pain and was diagnosed with coronary artery disease. Coronary artery bypass grafting without cardiopulmonary bypass was performed smoothly, and extubation was done in the operating room. The next evening, cluster of ventricular tachycardia and fibrillation triggered by ventricular premature contractions occurred and required multiple electrical defibrillations. Despite intravenous administration of lidocaine, amiodarone, magnesium, and β-blocker, the storm sustained and was suppressed only by temporary ventricular overdrive pacing. He was discharged on foot.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Somberg JC, Bailin SJ, Haffajee CI, Paladino WP, Kerin NZ, Bridges D, et al. Intravenous lidocaine versus intravenous amiodarone (in a new aqueous formulation) for incessant ventricular tachycardia. Am J Cardiol 2002;90:853–859.

    Article  PubMed  CAS  Google Scholar 

  2. Nishida M, Okada H, Murakami M, Hamano K. Treatment for perioperative arrhythmias with nifekalant hydrochloride. Kyobu Geka 2006;59:210–213.

    PubMed  CAS  Google Scholar 

  3. Nademanee K, Taylor R, Bailey WE, Rieders DE, Kosar EM. Treating electrical storm sympathetic blockade versus advanced cardiac life support-guided therapy. Circulation 2000;102:742–747.

    PubMed  CAS  Google Scholar 

  4. Umeda M, Morimoto A, Yokoyama K, Tateishi E, Makino K, Yamamoto K, et al. Despite medication, overdrive pacing is required to stabilize the electrical storm associated with acute coronary syndrome: a case report. J Cardiol 2007;50:263–269.

    PubMed  Google Scholar 

  5. Kurisu S, Inoue I, Kawagoe T, Ishihara M, Shimatani Y, Mitsuba N, et al. Temporary overdrive pacing as an adjunct to antiarrhythmic drug therapy for electrical storm in acute myocardial infarction. Circ J 2005;69:613–616.

    Article  PubMed  Google Scholar 

  6. Okada M, Seto S, Yamano T, Kondo M, Otomo T, Nakamura M. Doxorubicin hydrochloride (DXR) touyogoni syutugenshita Torsades de Pointes no ichirei: Rinsho To Kenkyu (Japanese Journal of Clinical and Experimental Medicine) 2003;80:1889–1892 (in Japanese).

    Google Scholar 

Download references

Author information

Author notes

  1. Yuji Naito

    Present address: Department of Cardiovascular Surgery, Hokkaido University Hospital, Kita 14, Nishi 5, Kita-ku, Sapporo, 060-8648, Japan

Authors and Affiliations

  1. Department of Cardiovascular Center, Hokkaido Social Insurance Hospital, 1-8 Nakanoshima, Toyohira-ku, Sapporo, Hokkaido, 062-8618, Japan

    Toshihito Yoshida, Yuji Naito & Kuniharu Nishimura

Authors
  1. Toshihito Yoshida
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Yuji Naito
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Kuniharu Nishimura
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Yuji Naito.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Yoshida, T., Naito, Y. & Nishimura, K. Temporary ventricular overdrive pacing for electrical storm after coronary artery bypass grafting. Gen Thorac Cardiovasc Surg 59, 756–759 (2011). https://doi.org/10.1007/s11748-010-0771-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11748-010-0771-z

Key words

Search

Navigation