A Recalcitrant Electrical Storm and Implantable Defibrillator Exhaustion

Authors :: Christos Kontogiannis, MD
Georgios Georgiopoulos, MD
Christos Papageorgiou, MD
Hector Anninos, MD
Konstantinos Tampakis, MD
Marinos Kosmopoulos, MD
Panagiotis Vasileiou, MD
Ioannis Kanakakis, MD
Ioannis Paraskevaidis, MD
Sofia Chatzidou, MD
Source :: JACC: Case Reports, Vol 1, Iss 4, Pp 602-606 (2019)
Publication Year :: 2019
Publisher :: Elsevier, 2019.
Abstract: A 60-year-old patient presented with recalcitrant electrical storm (ES). Mild sedation and initial antiarrhythmic combination of esmolol and amiodarone did not affect the intensity of ES, which resulted in battery exhaustion. Oral propranolol in addition to intravenous amiodarone might be preferred in hemodynamically stable patients before interventional therapies. (Level of Difficulty: Intermediate.)