Temporary atrial overdrive pacing during a drug-refractory electrical storm in acute myocardial infarction

被引：3
|
作者：
Chalupova, Marketa [1 ]
Suter, Philipp [2 ]
Graf, Denis [1 ]
Cook, Stephane [1 ]
机构：
[1] HFR Fribourg Hop Cantonal, Dept Cardiol, Fribourg, Switzerland
[2] HFR Fribourg Hop Cantonal, Dept Internal Med, Fribourg, Switzerland
来源：
BMJ CASE REPORTS | 2021年 / 14卷 / 09期
关键词：
arrhythmias; ischaemic heart disease; pacing and electrophysiology; resuscitation; TORSADES-DE-POINTES; MANAGEMENT; THERAPY;
D O I：
10.1136/bcr-2021-242100
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 64-year-old man with diabetes mellitus was diagnosed with a non-ST-segment elevation myocardial infarction and was treated with stent implantation. Four days later, he developed an electrical storm (ES) that persisted despite antiarrhythmic drugs and sedation. External defibrillation was performed more than 100 times over 2 hours. After ruling out the common causes of polymorphic ventricular tachycardia, an ES was considered because of brady-dependent R-on-T phenomenon, presumably precipitated by antiarrhythmic drugs. Temporary transvenous atrial overdrive pacing allowed complete suppression of premature ventricular complexes and ventricular fibrillation.
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页数：3
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