A Recalcitrant Electrical Storm and Implantable Defibrillator Exhaustion

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

JACC: Case Reports (Dec 2019)

A Recalcitrant Electrical Storm and Implantable Defibrillator Exhaustion

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

Affiliations

Christos Kontogiannis, MD: Address for correspondence: Dr. Christos Kontogiannis, “Alexandra” Hospital, University of Athens, Athens, Greece, Department of Clinical Therapeutics, 80 Vassilisis Sofias str, Athens 10431, Greece.; Department of Clinical Therapeutics, “Alexandra” Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
Georgios Georgiopoulos, MD: Department of Clinical Therapeutics, “Alexandra” Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
Christos Papageorgiou, MD: Department of Clinical Therapeutics, “Alexandra” Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
Hector Anninos, MD: Department of Clinical Therapeutics, “Alexandra” Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
Konstantinos Tampakis, MD: Department of Clinical Therapeutics, “Alexandra” Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
Marinos Kosmopoulos, MD: Department of Clinical Therapeutics, “Alexandra” Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
Panagiotis Vasileiou, MD: Department of Clinical Therapeutics, “Alexandra” Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
Ioannis Kanakakis, MD: Department of Clinical Therapeutics, “Alexandra” Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
Ioannis Paraskevaidis, MD: Department of Clinical Therapeutics, “Alexandra” Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
Sofia Chatzidou, MD: Department of Clinical Therapeutics, “Alexandra” Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece

Journal volume & issue: Vol. 1, no. 4
pp. 602 – 606

Abstract

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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.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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