Suppression by propranolol and amiodarone of an electrical storm refractory to metoprolol and amiodarone.

Abstract:

:A 60-year-old male patient with ischemic cardiomyopathy experienced an electrical storm 1 month after implantation of an internal cardioverter-defibrillator. Recurrent life-threatening episodes of ventricular tachycardia persisted despite maximal antiarrhythmic theraphy with amiodarone, metoprolol and mexiletine. After a total of more than 500 cardioversions, all antiarrhythmic medications were withdrawn, and the nonselective beta-blocker propranolol was initiated. Electrical stability was achieved and the patient was discharged on propranolol 400 mg/day. Two months later, a second arrhythmia cluster occurred that was controlled by the addition of amiodarone. The patient remains free of arrhythmia 15 months after the event with the combination of propranolol and amiodarone.

journal_name

Int J Cardiol

authors

Tsagalou EP,Kanakakis J,Rokas S,Anastasiou-Nana MI

doi

10.1016/j.ijcard.2003.11.033

subject

Has Abstract

pub_date

2005-03-18 00:00:00

pages

341-2

issue

2

eissn

0167-5273

issn

1874-1754

pii

S0167527304001500

journal_volume

99

pub_type

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