العاصفة الكهربائية مع مرض هيكلي في القلب: ماذا تفعل عندما لا يقمع علاج الأميودارون وحاصرات بيتا اضطراب النظم

References

DOI: 10.1093/eurheartj/ehac262

• An electrical storm is common in ICD patients and has been defined as three or more episodes of sustained VA occurring within 24 h, requiring either anti-tachycardia pacing (ATP) or cardioversion/defibrillation, with each event separated by at least 5 min.
• Antiarrhythmic therapy with beta-blockers (non-selective preferred) in combination with intravenous amiodarone is recommended in patients with SHD and electrical storm unless contraindicated.
• In patients with recurrent haemodynamically not-tolerated VTs resistant to amiodarone, landiolol (ultra-short-acting β1-selective blocker) was found to be effective for arrhythmia suppression in two smaller studies.