Near Fatal Electrical Storm in a Patient Equipped with an Implantable Cardioverter Defibrillator for Brugada Syndrome
- 1 March 2000
- journal article
- case report
- Published by Wiley in Pacing and Clinical Electrophysiology
- Vol. 23 (3) , 410-412
- https://doi.org/10.1111/j.1540-8159.2000.tb06772.x
Abstract
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 eventKeywords
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