open access

Vol 9, No 3 (2014)
Review Papers
Published online: 2014-09-19
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Electrical storm — clinical assessment and management in the intensive care unit

Monika Różycka-Kosmalska, Krzysztof Kaczmarek, Sebastian Stec, Jerzy Krzysztof Wranicz
Folia Cardiologica 2014;9(3):254-262.

open access

Vol 9, No 3 (2014)
Review Papers
Published online: 2014-09-19

Abstract

The implantable cardioverter-defibrillators (ICD) have improved survival in patients with malignant ventricular arrhythmias, both in primary and secondary prevention, but does not target the pathological substrate responsible for life-threatening arrhythmias events. Electrical storm (ES) is defined as the occurrence of three or more separate episodes of ventricular tachycardia (VT) or ventricular fibrillation (VF) in 24 hours, requiring the intervention of the ICD (anti-tachycardia pacing or shock) or external cardioversion/defibrillation or the persistence of incessant VT. Managing of acute phase of ES is challenging. The current therapeutic strategy is complex and often requires the simultaneous intravenous administration of several antiarrhythmic drugs and additional invasive procedures.

Abstract

The implantable cardioverter-defibrillators (ICD) have improved survival in patients with malignant ventricular arrhythmias, both in primary and secondary prevention, but does not target the pathological substrate responsible for life-threatening arrhythmias events. Electrical storm (ES) is defined as the occurrence of three or more separate episodes of ventricular tachycardia (VT) or ventricular fibrillation (VF) in 24 hours, requiring the intervention of the ICD (anti-tachycardia pacing or shock) or external cardioversion/defibrillation or the persistence of incessant VT. Managing of acute phase of ES is challenging. The current therapeutic strategy is complex and often requires the simultaneous intravenous administration of several antiarrhythmic drugs and additional invasive procedures.
Get Citation

Keywords

electrical storm, cardioverter-defibrillator, ventricular tachycardia, ventricular fibrillation

About this article
Title

Electrical storm — clinical assessment and management in the intensive care unit

Journal

Folia Cardiologica

Issue

Vol 9, No 3 (2014)

Pages

254-262

Published online

2014-09-19

Bibliographic record

Folia Cardiologica 2014;9(3):254-262.

Keywords

electrical storm
cardioverter-defibrillator
ventricular tachycardia
ventricular fibrillation

Authors

Monika Różycka-Kosmalska
Krzysztof Kaczmarek
Sebastian Stec
Jerzy Krzysztof Wranicz

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