Near Fatal Electrical Storm in a Patient Equipped with an Implantable Cardioverter Defibrillator for Brugada Syndrome

A patient with Brugada syndrome experienced incessant ventricular fibrillation 7 years after implantation of an ICD. Ceneral anesthesia, fast ventricuiar pacing bretylium, and atenolol infusion were ineffective; amiodarone infusion was started. After 190 defibrillation shocks over 36 hours, the elec...

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Veröffentlicht in:Pacing and clinical electrophysiology 2000-03, Vol.23 (3), p.410-412
Hauptverfasser: CHALVIDAN, THIERRY, DEHARO, JEAN-CLAUDE, DIEUZAIDE, PIERRE, DEEAYE, PASCAL, DJIANE, PIERRE
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Sprache:eng
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Zusammenfassung:A patient with Brugada syndrome experienced incessant ventricular fibrillation 7 years after implantation of an ICD. Ceneral anesthesia, fast ventricuiar pacing bretylium, and atenolol infusion were ineffective; amiodarone infusion was started. After 190 defibrillation shocks over 36 hours, the electrical storm stopped. A multiorgan failure occurred as a complication of the electrical storm and necessitated prolonged reanimation. Thorough cardiac evaluation revealed no structural abnormality and the patient, now on chronic oral amiodarone therapy, remains free of arrhythmia 1 year after the event
ISSN:0147-8389
1540-8159
DOI:10.1111/j.1540-8159.2000.tb06772.x