Electrical storm: Difference between revisions
| Line 3: | Line 3: | ||
**3 or more episodes of sustained VT, VF, or ICD shocks within 24 hours | **3 or more episodes of sustained VT, VF, or ICD shocks within 24 hours | ||
*Risk factors <ref> Brigadeau F et al. Clinical predictors and prognostic significance of electrical storm in patients with implantable cardioverter defibrillators. Eur Heart J 2006;27:700-7. </ref> | *Risk factors <ref> Brigadeau F et al. Clinical predictors and prognostic significance of electrical storm in patients with implantable cardioverter defibrillators. Eur Heart J 2006;27:700-7. </ref> | ||
**CAD | **CAD | ||
**HFrEF | **HFrEF | ||
Revision as of 01:39, 2 June 2015
Background
- Definition
- 3 or more episodes of sustained VT, VF, or ICD shocks within 24 hours
- Risk factors [1]
- CAD
- HFrEF
- Long QT
- DM2 is protective
- Causes
- Ischemia
- Electrolyte derangement
- Iatrogenic (medication related)
- Hyperthyroidism
- Infection/Fever
Clinical Features
- Presentation as:
- Cardiac arrest
- Palpitations
- (Pre)Syncope
- ICD patient complaining of shock(s)
Differential Diagnosis
Diagnosis
Management
Proposed treatment algorithm for electrical storm[2]
Disposition
- CCU or cath lab