Intensive management of electrical storm and incessant ventricular arrhythmias

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Electrical injury causing ventricular arrhythmias.

Dangerous or long lasting ventricular arrhythmias developed in three patients who had sustained an electrical injury in which current passed through the thorax. In all three cases there was a delay of 8-12 hours between the injury and the onset of symptoms. The ventricular arrhythmias were severe and long lasting. In two of the three patients, ventricular tachycardia or ventricular fibrillation...

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The evaluation and management of electrical storm.

Electrical storm is an increasingly common and life-threatening syndrome that is defined by 3 or more sustained episodes of ventricular tachycardia, ventricular fibrillation, or appropriate shocks from an implantable cardioverter-defibrillator within 24 hours. The clinical presentation can be dramatic. Electrical storm can manifest itself during acute myocardial infarction and in patients who h...

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Electrical storm: Is right ventricular pacing dangerous?

Introduction: Electrical storm is commonly defined as the occurrence of three or more episodes of ventricular tachycardia (VT) or ventricular fibrillation (VF) in 24 hours. Patients with an implantable cardiac defibrillator (ICD) are at increased risk of electrical storm due to history of decreased ejection fraction and/or sustained VT/VF. In addition to medical treatment of electrical storm in...

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Incessant ventricular tachycardia

Among the side effects of adenosine, excitatory actions on ventricular automaticity enhanced by low concentrations of adenosine and the discharge of catecholamines are reported. The majority of adenosine-induced ventricular tachycardias (VTs) are rare, transient, not requiring further interventions and usually originate in the inferior left ventricular septum [1]. Since the coronary arteries sh...

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Catheter ablation of ventricular fibrillation triggers and electrical storm.

Ventricular fibrillation (VF) and electrical storm remain challenging conditions to manage despite the availability of various treatment modalities. Insertion of an implantable cardioverter defibrillator (ICD) remains the gold standard method for lowering the risk of sudden cardiac death in patients deemed to be at greatest risk of ventricular arrhythmias. However, ICDs do not alter the underly...

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ژورنال

عنوان ژورنال: Interventional Medicine and Applied Science

سال: 2011

ISSN: 2061-1617,2061-5094

DOI: 10.1556/imas.3.2011.2.2