Resistant Ventricular Arrhythmia and the Role of Overdrive Pacing in the Suppression of the Electrical Storm

Ventricular arrhythmia storm is a state of cardiac instability characterized by multiple ventricular arrhythmias or multiple ICD therapies within a 24-hour duration. Management of this life-threatening state depends on the reversal of the cause besides either electrical or medical management of the...

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Main Authors: Mohamed Magdi, Mahmood Mubasher, Hakam Alzaeem, Tahir Hamid
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2019/6592927
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author Mohamed Magdi
Mahmood Mubasher
Hakam Alzaeem
Tahir Hamid
author_facet Mohamed Magdi
Mahmood Mubasher
Hakam Alzaeem
Tahir Hamid
author_sort Mohamed Magdi
collection DOAJ
description Ventricular arrhythmia storm is a state of cardiac instability characterized by multiple ventricular arrhythmias or multiple ICD therapies within a 24-hour duration. Management of this life-threatening state depends on the reversal of the cause besides either electrical or medical management of the arrhythmia. We report a case of a 54-year-old male who underwent a percutaneous coronary intervention following massive acute myocardial infarction. Afterwards, he developed frequent life-threatening ventricular arrhythmias that required multiple shocks and antiarrhythmic medications. Despite all these interventions, it was very difficult to control the electrical instability, but after overdrive ventricular pacing, the storm subsided and within a few days the case was stabilized. Overdrive pacing is an easy temporary modality to control the resistant arrhythmia following myocardial infarction.
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institution Kabale University
issn 2090-6404
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language English
publishDate 2019-01-01
publisher Wiley
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series Case Reports in Cardiology
spelling doaj-art-4c63314a06b741a5a1e1a20d1fa006b32025-02-03T07:25:20ZengWileyCase Reports in Cardiology2090-64042090-64122019-01-01201910.1155/2019/65929276592927Resistant Ventricular Arrhythmia and the Role of Overdrive Pacing in the Suppression of the Electrical StormMohamed Magdi0Mahmood Mubasher1Hakam Alzaeem2Tahir Hamid3Hamad Medical Corporation, QatarHamad Medical Corporation, QatarHamad Medical Corporation, QatarHamad Medical Corporation, QatarVentricular arrhythmia storm is a state of cardiac instability characterized by multiple ventricular arrhythmias or multiple ICD therapies within a 24-hour duration. Management of this life-threatening state depends on the reversal of the cause besides either electrical or medical management of the arrhythmia. We report a case of a 54-year-old male who underwent a percutaneous coronary intervention following massive acute myocardial infarction. Afterwards, he developed frequent life-threatening ventricular arrhythmias that required multiple shocks and antiarrhythmic medications. Despite all these interventions, it was very difficult to control the electrical instability, but after overdrive ventricular pacing, the storm subsided and within a few days the case was stabilized. Overdrive pacing is an easy temporary modality to control the resistant arrhythmia following myocardial infarction.http://dx.doi.org/10.1155/2019/6592927
spellingShingle Mohamed Magdi
Mahmood Mubasher
Hakam Alzaeem
Tahir Hamid
Resistant Ventricular Arrhythmia and the Role of Overdrive Pacing in the Suppression of the Electrical Storm
Case Reports in Cardiology
title Resistant Ventricular Arrhythmia and the Role of Overdrive Pacing in the Suppression of the Electrical Storm
title_full Resistant Ventricular Arrhythmia and the Role of Overdrive Pacing in the Suppression of the Electrical Storm
title_fullStr Resistant Ventricular Arrhythmia and the Role of Overdrive Pacing in the Suppression of the Electrical Storm
title_full_unstemmed Resistant Ventricular Arrhythmia and the Role of Overdrive Pacing in the Suppression of the Electrical Storm
title_short Resistant Ventricular Arrhythmia and the Role of Overdrive Pacing in the Suppression of the Electrical Storm
title_sort resistant ventricular arrhythmia and the role of overdrive pacing in the suppression of the electrical storm
url http://dx.doi.org/10.1155/2019/6592927
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AT hakamalzaeem resistantventriculararrhythmiaandtheroleofoverdrivepacinginthesuppressionoftheelectricalstorm
AT tahirhamid resistantventriculararrhythmiaandtheroleofoverdrivepacinginthesuppressionoftheelectricalstorm