Unusual response to overdrive pacing during a postinfarction ventricular tachycardia: What is the mechanism?

2020 ◽  
Vol 31 (8) ◽  
pp. 2243-2245
Author(s):  
Taihei Itoh ◽  
Masaomi Kimura ◽  
Shogo Hamaura ◽  
Kimitaka Nishizaki ◽  
Yuji Ishida ◽  
...  
1991 ◽  
Vol 10 (1) ◽  
pp. 59-62 ◽  
Author(s):  
R.A. Henderson ◽  
S. Lane ◽  
J.A. Henry

A 48-year-old woman developed QT prolongation and episodes of life-threatening ventricular tachycardia (torsades de pointes) after intentional overdose of haloperidol and orphenadrine. The arrhythmia did not respond to conventional anti-arrhythmic therapy but was suppressed by atrial overdrive pacing. A literature review identified haloperidol as the most likely cause of the torsades de pointes.


2017 ◽  
Vol 10 (2) ◽  
Author(s):  
Kivanc Yalin ◽  
Ebru Golcuk ◽  
Ekrem Bilal Karaayvaz ◽  
Tolga Aksu ◽  
Muhammet Arslane ◽  
...  

Circulation ◽  
1986 ◽  
Vol 73 (2) ◽  
pp. 309-315 ◽  
Author(s):  
G S Charos ◽  
C I Haffajee ◽  
R L Gold ◽  
R L Bishop ◽  
B V Berkovits ◽  
...  

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Sayaka Ohsawa ◽  
Hiroki Isono ◽  
Eiji Ojima ◽  
Masahiro Toyama ◽  
Yasuhisa Kuroda ◽  
...  

Abstract Background The definition of electrical storm is still debated. For example, an electrical storm is defined as a clustering of three or more separate episodes of ventricular tachycardia/ventricular fibrillation within 24 hours or one or more episodes occurring within 5 minutes of termination of the previous episode of ventricular tachycardia/ventricular fibrillation. When it is refractory to medications, prompt assessments by coronary angiography, sedation, and overdrive pacing should be performed. An electrical storm may occur anytime, including at night or after the patient leaves an intensive care unit. Case presentation A 70-year-old Japanese man with type 2 diabetes mellitus was diagnosed as having ST-elevation myocardial infarction. His clinical course after an urgent percutaneous coronary intervention was uneventful, but he developed electrical storm that was refractory to antiarrhythmic medications on day 11 of hospitalization. We used sedative medications and performed ventricular overdrive pacing and transferred him to a university hospital for further treatment, which included electrical ablation and cardioverter-defibrillator implantation. Conclusion An electrical storm is a relatively rare and fatal complication of acute myocardial infarction. It is important that the treatment choices for this condition are known by non-cardiologist physicians who might encounter this rare condition.


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