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2016 ; 12
(1
): 107-110
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gab.com Text
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Successful treatment of cardiac electrical storm in dilated cardiomyopathy using
esmolol: A case report
#MMPMID27347024
Li LI
; Zhou YL
; Zhang XJ
; Wang HT
Exp Ther Med
2016[Jul]; 12
(1
): 107-110
PMID27347024
show ga
The present study reports a case of electrical storm occurring in a 43-year-old
woman with dilated cardiomyopathy. The patient suffered from a cardiac electrical
storm, with 98 episodes of ventricular tachycardia rapidly degenerating to
ventricular fibrillation in hospital. The patient was converted with a total of
120 defibrillations. Recurrent ventricular tachycardia/fibrillation was initiated
by premature ventricular beats. The patient did not respond to the use of
amiodaronum. However, the administration of esmolol stabilized the patient's
heart rhythm. A moderate dose of the ?-blocker esmolol, administered as an 0.5-mg
intravenous bolus injection followed by an infusion at a rate of 0.15 mg/kg/min,
inhibited the recurrence of ventricular fibrillation and normalized the
electrocardiographic pattern. The results suggest that esmolol may be able to
improve the survival rate of patients with electrical storm in dilated
cardiomyopathy and should be considered as a primary therapy in the management of
cardiac electrical storms.