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Near Fatal Electrical Storm in a Patient Equipped with an Implantable Cardioverter Defibrillator for Brugada Syndrome
Author(s) -
CHALVIDAN THIERRY,
DEHARO JEANCLAUDE,
DIEUZAIDE PIERRE,
DEEAYE PASCAL,
DJIANE PIERRE
Publication year - 2000
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.2000.tb06772.x
Subject(s) - medicine , amiodarone , brugada syndrome , ventricular fibrillation , defibrillation , implantable cardioverter defibrillator , cardiology , bretylium , complication , atenolol , anesthesia , atrial fibrillation , receptor , adrenergic , blood pressure
A patient with Brugada syndrome experienced incessant ventricular fibrillation 7 years after implantation of an ICD. Ceneral anesthesia, fast ventricuiar pacing bretylium, and atenolol infusion were ineffective; amiodarone infusion was started. After 190 defibrillation shocks over 36 hours, the electrical storm stopped. A multiorgan failure occurred as a complication of the electrical storm and necessitated prolonged reanimation. Thorough cardiac evaluation revealed no structural abnormality and the patient, now on chronic oral amiodarone therapy, remains free of arrhythmia 1 year after the event