Emergency Management of Electrical Storm: A Practical Overview.
Fabrizio GuarraciniEleonora BonviciniSofia ZanonMarta MartinGiulia CasagrandaMarianna MochenAlessio CoserSilvia QuintarelliStefano BranzoliPatrizio MazzoneRoberto BonmassariMassimiliano MariniPublished in: Medicina (Kaunas, Lithuania) (2023)
Electrical storm is a medical emergency characterized by ventricular arrythmia recurrence that can lead to hemodynamic instability. The incidence of this clinical condition is rising, mainly in implantable cardioverter defibrillator patients, and its prognosis is often poor. Early acknowledgment, management and treatment have a key role in reducing mortality in the acute phase and improving the quality of life of these patients. In an emergency setting, several measures can be employed. Anti-arrhythmic drugs, based on the underlying disease, are often the first step to control the arrhythmic burden; besides that, new therapeutic strategies have been developed with high efficacy, such as deep sedation, early catheter ablation, neuraxial modulation and mechanical hemodynamic support. The aim of this review is to provide practical indications for the management of electrical storm in acute settings.
Keyphrases
- end stage renal disease
- healthcare
- public health
- emergency department
- ejection fraction
- catheter ablation
- chronic kidney disease
- newly diagnosed
- atrial fibrillation
- risk factors
- peritoneal dialysis
- prognostic factors
- heart failure
- type diabetes
- left ventricular
- left atrial
- liver failure
- hepatitis b virus
- mechanical ventilation
- mitral valve
- extracorporeal membrane oxygenation
- acute respiratory distress syndrome