Arrhythmic storm

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Arrhythmic storm is defined by at least 3 isolated and hemodynamically significant paroxysmal ventricular tachyarrhythmias within 24 hours. It is a life-threatening condition, which can be caused by:

• myocardial ischemia,
• acute decompensated heart failure,
• electrolyte imbalance,
• drug interactions,
• hyperthyroidism, or
• excessive alcohol use;

in more than 2/3 patients the cause is not clear.

The causal therapy is possible only in some cases:

• treatment of hyperthyroidism,
• revascularization, etc.

In some cases pharmacotherapy is used

• analgetics
• sedatives
• antiarrhythmics.

When the pharmacotherapy is ineffective we consider carrying out these procedures:

• catheter ablation and
• modification of arrhythmogenic substrate.

Links

Related articles

• Fibrilace komor
• Náhlá srdeční smrt
• Implantabilní kardioverter-defibrilátor
• Syndrom dlouhého QT intervalu
• Brugadův syndrom

External links

• Komorová tachykardia (TECHmED)

References

1. MAURY, P, et al. Electrical Storms in Brugada Syndrome: Review of Pharmacologic and Ablative Therapeutic Options. Indian Pacing Electrophysiol. J. [online]. 2005, roč. 5, vol. 1, s. 25-34, dostupné také z <http://www.ipej.org/0501/maury.htm>. ISSN 0972-6292. 
2. ↑ Skočit nahoru k:a b PEICHL, Petr a Josef KAUTZNER. Arytmická bouře – život ohrožující stav. Intervenční a akutní kardiologie [online]. 2009, roč. 7, vol. 8, no. 6, s. 297-301, dostupné také z <http://www.solen.cz/pdfs/kar/2009/06/05.pdf>. ISSN 1803-5302.