Electrical storm: Difference between revisions
Line 10: Line 10:
**Ischemia
**Ischemia
**Electrolyte derangement
**Electrolyte derangement
**Iatrogenic (medication related)
**Iatrogenic (ie QT prolonging medications)
**[[Hyperthyroidism]]
**[[Hyperthyroidism]]
**Infection/Fever
**Infection/Fever

Revision as of 01:40, 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 (ie QT prolonging medications)
    • 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

See Also

External Links

References

  1. ↑ 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.
  2. ↑ Eifling M, Ravazi M, Massumi A. The Evaluation and Management of Electrical Storm. Tex Heart Inst J 2011;38(2):111-21
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