Successful treatment of cardiac electrical storm in dilated cardiomyopathy using esmolol: A case report
| Autor: | Yuan‑Li Zhou, Hua‑Ting Wang, Xue‑Jing Zhang, Li Li |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Cancer Research
medicine.medical_specialty cardiac electrical storm animal diseases esmolol 030204 cardiovascular system & hematology Ventricular tachycardia 03 medical and health sciences 0302 clinical medicine Immunology and Microbiology (miscellaneous) Internal medicine Medicine cardiovascular diseases Survival rate Fibrillation business.industry Recurrent ventricular tachycardia 030208 emergency & critical care medicine Dilated cardiomyopathy General Medicine Articles medicine.disease Esmolol ventricular fibrillation dilated cardiomyopathy Anesthesia Ventricular fibrillation Cardiology cardiovascular system ventricular tachycardia medicine.symptom business Amiodaronum medicine.drug |
| Zdroj: | Experimental and Therapeutic Medicine |
| ISSN: | 1792-0981 |
| Popis: | The present study reports a case of electrical storm occurring in a 43-year-old woman with dilated cardiomyopathy. The patient suffered from a cardiac electrical storm, with 98 episodes of ventricular tachycardia rapidly degenerating to ventricular fibrillation in hospital. The patient was converted with a total of 120 defibrillations. Recurrent ventricular tachycardia/fibrillation was initiated by premature ventricular beats. The patient did not respond to the use of amiodaronum. However, the administration of esmolol stabilized the patient's heart rhythm. A moderate dose of the β-blocker esmolol, administered as an 0.5-mg intravenous bolus injection followed by an infusion at a rate of 0.15 mg/kg/min, inhibited the recurrence of ventricular fibrillation and normalized the electrocardiographic pattern. The results suggest that esmolol may be able to improve the survival rate of patients with electrical storm in dilated cardiomyopathy and should be considered as a primary therapy in the management of cardiac electrical storms. |
| Databáze: | OpenAIRE |
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