Burza elektryczna — ocena kliniczna i postępowanie na oddziale intensywnej terapii kardiologicznej

The implantable cardioverter-defibrillators (ICD) have improved survival in patients with malignant ventricular arrhythmias, both in primary and secondary prevention, but does not target the pathological substrate responsible for life-threatening arrhythmias events. Electrical storm (ES) is defined as the occurrence of three or more separate episodes of ventricular tachycardia (VT) or ventricular fibrillation (VF) in 24 hours, requiring the intervention of the ICD (anti-tachycardia pacing or shock) or external cardioversion/defibrillation or the persistence of incessant VT. Managing of acute phase of ES is challenging. The current therapeutic strategy is complex and often requires the simultaneous intravenous administration of several antiarrhythmic drugs and additional invasive procedures.