Esmolol Use in Dual Axis Defibrillation Resistant Ventricular Fibrillation
Cardiac arrest in an event of acute myocardial infarction most commonly results in life-threatening ventricular tachycardia or ventricular fibrillation (VF). Patients who remain in VF despite optimal epinephrine, amiodarone, and three or more attempts at 200 joules of biphasic current defibrillation...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2020/7297303 |
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| _version_ | 1832553940557758464 |
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| author | Ankit Agrawal Maria Cardinale Douglas Frenia Tarun Dalia Chirag Shah |
| author_facet | Ankit Agrawal Maria Cardinale Douglas Frenia Tarun Dalia Chirag Shah |
| author_sort | Ankit Agrawal |
| collection | DOAJ |
| description | Cardiac arrest in an event of acute myocardial infarction most commonly results in life-threatening ventricular tachycardia or ventricular fibrillation (VF). Patients who remain in VF despite optimal epinephrine, amiodarone, and three or more attempts at 200 joules of biphasic current defibrillation are known to be in an electrical storm. Here, we describe a case of defibrillation refractory VF responding to intravenous esmolol resulting in a successful return of spontaneous circulation. Learning objective. This case reinforces the growing body of evidence supporting esmolol as a novel treatment approach for refractory VF before the cessation of resuscitative efforts. |
| format | Article |
| id | doaj-art-4b036fbe058c4060bfd05eb30bcf9fae |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-4b036fbe058c4060bfd05eb30bcf9fae2025-02-03T05:52:44ZengWileyCase Reports in Cardiology2090-64042090-64122020-01-01202010.1155/2020/72973037297303Esmolol Use in Dual Axis Defibrillation Resistant Ventricular FibrillationAnkit Agrawal0Maria Cardinale1Douglas Frenia2Tarun Dalia3Chirag Shah4Division of Internal Medicine Rutgers Robert Wood, Johnson Medical School/Saint Peter’s University Hospital, New Jersey, USADivision of Pharmacy, Saint Peter’s University Hospital, New Jersey, USADivision of Pulmonary and Critical Care Medicine, Rutgers Robert Wood Johnson Medical School/Saint Peter’s University Hospital, New Jersey, USADivision of Internal Medicine, University of Kansas Medical Center, Kansas, USADivision of Cardiovascular Sciences Rutgers, Robert Wood Johnson Medical School/Saint Peter’s University Hospital, New Jersey, USACardiac arrest in an event of acute myocardial infarction most commonly results in life-threatening ventricular tachycardia or ventricular fibrillation (VF). Patients who remain in VF despite optimal epinephrine, amiodarone, and three or more attempts at 200 joules of biphasic current defibrillation are known to be in an electrical storm. Here, we describe a case of defibrillation refractory VF responding to intravenous esmolol resulting in a successful return of spontaneous circulation. Learning objective. This case reinforces the growing body of evidence supporting esmolol as a novel treatment approach for refractory VF before the cessation of resuscitative efforts.http://dx.doi.org/10.1155/2020/7297303 |
| spellingShingle | Ankit Agrawal Maria Cardinale Douglas Frenia Tarun Dalia Chirag Shah Esmolol Use in Dual Axis Defibrillation Resistant Ventricular Fibrillation Case Reports in Cardiology |
| title | Esmolol Use in Dual Axis Defibrillation Resistant Ventricular Fibrillation |
| title_full | Esmolol Use in Dual Axis Defibrillation Resistant Ventricular Fibrillation |
| title_fullStr | Esmolol Use in Dual Axis Defibrillation Resistant Ventricular Fibrillation |
| title_full_unstemmed | Esmolol Use in Dual Axis Defibrillation Resistant Ventricular Fibrillation |
| title_short | Esmolol Use in Dual Axis Defibrillation Resistant Ventricular Fibrillation |
| title_sort | esmolol use in dual axis defibrillation resistant ventricular fibrillation |
| url | http://dx.doi.org/10.1155/2020/7297303 |
| work_keys_str_mv | AT ankitagrawal esmololuseindualaxisdefibrillationresistantventricularfibrillation AT mariacardinale esmololuseindualaxisdefibrillationresistantventricularfibrillation AT douglasfrenia esmololuseindualaxisdefibrillationresistantventricularfibrillation AT tarundalia esmololuseindualaxisdefibrillationresistantventricularfibrillation AT chiragshah esmololuseindualaxisdefibrillationresistantventricularfibrillation |