Fosphenytoin for control of electrical storm in acute myocardial infarction and Purkinje fiber‐mediated arrhythmias

2018 ◽  
Vol 41 (7) ◽  
pp. 707-712 ◽  
Author(s):  
Maneesh K. Rai ◽  
Narasimha Pai ◽  
Kashyap Patel ◽  
Mukund A. Prabhu ◽  
Jayashanker Marla ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Purkinje Fiber ◽  
Electrical Storm

scholarly journals In-Hospital Electrical Storm in Acute Myocardial Infarction　― Clinical Background and Mechanism of the Electrical Instability ―

2018 ◽  
Vol 83 (1) ◽  
pp. 91-100 ◽  
Author(s):  
Yoshinori Kobayashi ◽  
Kaoru Tanno ◽  
Akira Ueno ◽  
Seiji Fukamizu ◽  
Hiroshige Murata ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Electrical Storm ◽  
Electrical Instability ◽  
Clinical Background

scholarly journals Electrical storm in patient with acute myocardial infarction: Case report

2017 ◽  
Vol 36 (4) ◽  
pp. 107-110
Author(s):  
Aleksandar Selaković ◽  
Predrag Đuran ◽  
Milica Zarić
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Case Report ◽  
Electrical Storm

Successful use of intra-arrest thrombolysis for electrical storm due to acute myocardial infarction

2015 ◽  
Vol 33 (7) ◽  
pp. 990.e5-990.e8 ◽  
Author(s):  
Karina Reyner ◽  
Alan C. Heffner ◽  
J. Lee Garvey ◽  
Vivek S. Tayal
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Electrical Storm

scholarly journals Esmolol for the treatment of recurrent ventricular tachycardia

2016 ◽  
Vol 12 (2) ◽  
Author(s):  
Simone Savastano ◽  
Alessandra Greco ◽  
Benedetta Matrone
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Ventricular Tachycardia ◽  
Beta Blockers ◽  
Left Ventricle Ejection Fraction ◽  
Idiopathic Dilated Cardiomyopathy ◽  
Electrical Storm ◽  
Low Output Syndrome ◽  
Major Emergencies ◽  
Clinical Conditions

Cardiac arrest and electrical storm are two major emergencies. The use of beta blockers in these clinical conditions has been proposed however, definite data about the emergency use of beta blockers in recurrent ventricular tachycardia with pulse have never been published. We report two cases of recurrent ventricular tachycardia which were unresponsive to the standard pharmacological treatment but successfully responsive to esmolol infusion. Both cases showed a reduced left ventricle ejection fraction due to an acute myocardial infarction and to an idiopathic dilated cardiomyopathy respectively. Nevertheless, the use of esmolol was shown to be both safe and effective without inducing low output syndrome.

scholarly journals Electrical storm 11 days after acute myocardial infarction: a case report

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Sayaka Ohsawa ◽  
Hiroki Isono ◽  
Eiji Ojima ◽  
Masahiro Toyama ◽  
Yasuhisa Kuroda ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Ventricular Tachycardia ◽  
Ventricular Fibrillation ◽  
Rare Condition ◽  
Coronary Intervention ◽  
University Hospital ◽  
Electrical Storm ◽  
Old Japanese ◽  
Overdrive Pacing

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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