Electrical storm

Background

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]
  • ACC recommends repletion of K to 4.5 in all cases [3]

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
  3. Zipes DP et al. ACC/AHA/ESC 2006 Guidelines for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death. J Am Coll Card 2006;48(5):e247-346.