Open AccessEsmolol for the treatment of recurrent ventricular tachycardia
Author(s) -
Simone Savastano,
Alessandra Greco,
Benedetta Matrone
Publication year - 2016
Publication title -
emergency care journal
Language(s) - English
Resource type - Journals
eISSN - 2282-2054
pISSN - 1826-9826
DOI - 10.4081/ecj.2016.6097
Subject(s) - esmolol , medicine , cardiology , ventricular tachycardia , ventricle , myocardial infarction , tachycardia , ejection fraction , dilated cardiomyopathy , anesthesia , heart failure , heart rate , blood pressure
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