Arrhythmic storm
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Arrhythmic storm is defined by at least 3 isolated and hemodynamically significant paroxysmal ventricular tachyarrhythmias within 24 hours. It is a life-threatening condition, which can be caused by:
- myocardial ischemia,
- acute decompensated heart failure,
- electrolyte imbalance,
- drug interactions,
- hyperthyroidism, or
- excessive alcohol use;
in more than 2/3 patients the cause is not clear.
The causal therapy is possible only in some cases:
- treatment of hyperthyroidism,
- revascularization, etc.
In some cases pharmacotherapy is used
- analgetics
- sedatives
- antiarrhythmics.
When the pharmacotherapy is ineffective we consider carrying out these procedures:
- catheter ablation and
- modification of arrhythmogenic substrate.[1]
Links[edit | edit source]
Related articles[edit | edit source]
- Fibrilace komor
- Náhlá srdeční smrt
- Implantabilní kardioverter-defibrilátor
- Syndrom dlouhého QT intervalu
- Brugadův syndrom
External links[edit | edit source]
- Ventricular tachycardia and ECG - Free ECG book
References[edit | edit source]
- MAURY, P, et al. Electrical Storms in Brugada Syndrome: Review of Pharmacologic and Ablative Therapeutic Options. Indian Pacing Electrophysiol. J. [online]. 2005, roč. 5, vol. 1, s. 25-34, dostupné také z <http://www.ipej.org/0501/maury.htm>. ISSN 0972-6292.
- ↑ Skočit nahoru k:a b PEICHL, Petr a Josef KAUTZNER. Arytmická bouře – život ohrožující stav. Intervenční a akutní kardiologie [online]. 2009, roč. 7, vol. 8, no. 6, s. 297-301, dostupné také z <http://www.solen.cz/pdfs/kar/2009/06/05.pdf>. ISSN 1803-5302.
Kategorie:Kardiologie Kategorie:Neodkladná medicína Kategorie:Vnitřní lékařství
