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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Format: | Article |
Language: | English |
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Wiley
2019-01-01
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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. |
format | Article |
id | doaj-art-4c63314a06b741a5a1e1a20d1fa006b3 |
institution | Kabale University |
issn | 2090-6404 2090-6412 |
language | English |
publishDate | 2019-01-01 |
publisher | Wiley |
record_format | Article |
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 |
work_keys_str_mv | AT mohamedmagdi resistantventriculararrhythmiaandtheroleofoverdrivepacinginthesuppressionoftheelectricalstorm AT mahmoodmubasher resistantventriculararrhythmiaandtheroleofoverdrivepacinginthesuppressionoftheelectricalstorm AT hakamalzaeem resistantventriculararrhythmiaandtheroleofoverdrivepacinginthesuppressionoftheelectricalstorm AT tahirhamid resistantventriculararrhythmiaandtheroleofoverdrivepacinginthesuppressionoftheelectricalstorm |