Near Fatal Electrical Storm in a Patient Equipped with an Implantable Cardioverter Defibrillator for Brugada Syndrome

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 elec...

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Bibliographic Details
Published in:	Pacing and clinical electrophysiology Vol. 23; no. 3; pp. 410 - 412
Main Authors:	CHALVIDAN, THIERRY, DEHARO, JEAN-CLAUDE, DIEUZAIDE, PIERRE, DEEAYE, PASCAL, DJIANE, PIERRE
Format:	Journal Article
Language:	English
Published:	Oxford, UK Blackwell Publishing Ltd 01-03-2000
Subjects:	Adult Brugada syndrome Bundle-Branch Block - complications Bundle-Branch Block - therapy Defibrillators, Implantable electrical storm Electrocardiography Electrophysiology Humans implantable cardioverter defibrillator Male Syndrome Ventricular Fibrillation - complications Ventricular Fibrillation - physiopathology Ventricular Fibrillation - therapy
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Summary:	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 event
Bibliography:	ark:/67375/WNG-GTW6KC9Z-T ArticleID:PACE410 istex:D6FD8D3DF6D1F25B43C78D70565C3E54424014DA ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0147-8389 1540-8159
DOI:	10.1111/j.1540-8159.2000.tb06772.x