Electrical Storm of the Heart: A Shocking Experience!
For emergency physicians, the diagnosis, treatment, and management of unstable ventricular dysrhythmias are rather simple. These patients are dead or dying. They fall quite neatly into the advanced cardic life support (ACLS) algorithms which are firmly engrained in our resuscitative minds. However, those patients who are “stable-ish” are at risk for devolving into electrical anarchy and may continue to require repeated therapies (electrical or pharmacologic) for their symptomatic ventricular dysrhythmias. This patient population can be challenging to manage.
KeywordsEmergency physicians The diagnosis Treatment Management Unstable ventricular dysrhythmias
The authors of this chapter report no significant disclosures.
- 3.Al-khatib SM, Stevenson WG, Ackerman MJ, et al. AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. J Am Coll Cardiol. 2017:2017.Google Scholar
- 4.Ueno A, Kobayashi Y, Murata H, et al. The short-term prognosis of the patients with ventricular tachycardia and fibrillation: from the registry data of Tokyo CCU Network for 3 years. The proceedings of the 37th scientific meeting of Tokyo CCU Network. ICU and CCU. 2018 (In press).Google Scholar
- 6.Burns B. VT versus SVT LITFL Medical Blog ECG library basics. In: Life in the fast lane. https://litfl.com/vt-versus-svt-ecg-library/; 2019. Accessed 4 Mar 2019.
- 9.Panchal AR, Berg KM, Kudenchuk PJ, et al. 2018 American Heart Association Focused Update on Advanced Cardiovascular Life Support Use of Antiarrhythmic Drugs During and Immediately After Cardiac Arrest: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2018;138(23):e740–9.CrossRefGoogle Scholar
- 19.Uribarri A, Bravo L, Jimenez-candil J, Martin-moreiras J, Villacorta E, Sanchez PL. Percutaneous extracorporeal membrane oxygenation in electrical storm: five case reports addressing efficacy, transferring allowance or radiofrequency ablation support. Eur Heart J Acute Cardiovasc Care. 2017:2048872617730036.Google Scholar