Electrical storms in an ICD-recipient with 429 delivered appropriate shocks: Therapeutic management with antiarrhythmic drug combination

被引：14

作者：

Manolis, AG ^{[1
]}

Katsivas, AG ^{[1
]}

Vassilopoulos, C ^{[1
]}

Tsatiris, CG ^{[1
]}

机构：

[1] Hellen Red Cross Hosp Athens, Athens, Greece

来源：

JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY | 2002年 / 6卷 / 01期

关键词：

electrical storm; ICD; antiarrhythmic drugs;

D O I：

10.1023/A:1014188526158

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The case of a 65 year old man with ischemic cardiomyopathy, an ICD device and recurrent electrical storms is presented. The patient had been implanted with an ICD device due to aborted sudden death. The first electrical storm occured 12 months later. It was terminated by the administration of intravenous amiodarone and the patient was discharged on maintenance dose amiodarone and b-blocker. After a period of 3 months during which the patient remained asymptomatic, a second arrhythmic clustering occured and it was controlled by the addition of mexiletine. A total number of 429 appropriate shocks had been delivered by the device. Thereafter and for a seven month follow-up period, the patient remains asymptomatic under this combination of antiarrhythmic drugs.

引用

页码：91 / 94

页数：4