Quelling the Storm: A Review of the Management of Electrical Storm

被引:1
作者
McCabe, Melissa D. [1 ,3 ]
Cervantes, Richard [1 ]
Kewcharoen, Jakrin [2 ]
Sran, Jasmine [1 ]
Garg, Jalaj [2 ]
机构
[1] Loma Linda Univ, Sch Med, Dept Anesthesiol, Loma Linda, CA USA
[2] Loma Linda Univ, Sch Med, Cardiac Arrhythmia Serv, Loma Linda, CA USA
[3] Loma Linda Univ, Sch Med, Dept Anesthesiol, Cardiothorac Anesthesiol, 11234 Anderson St,MC 2352, Loma Linda, CA 92354 USA
关键词
electrical storm; ventricular tachycardia; ventricular arrhythmia; sympathectomy; catheter ablation; multidisciplinary approach; IMPLANTABLE CARDIOVERTER-DEFIBRILLATORS; VENTRICULAR-TACHYCARDIA ABLATION; CARDIAC SYMPATHETIC DENERVATION; STRUCTURAL HEART-DISEASE; CATHETER ABLATION; NEURAXIAL MODULATION; EXPERT CONSENSUS; BETA-BLOCKERS; OUTCOMES; AMIODARONE;
D O I
10.1053/j.jvca.2023.05.029
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Heightened sympathetic input to the myocardium potentiates cardiac electrical instability and may herald an electrical storm. An electrical storm is characterized by 3 or more episodes of ventricular tachycardia, ventricular fibrillation, or appropriate internal cardiac defibrillator shocks within 24 hours. Management of electrical storms is resource-intensive and inevitably requires careful coordination between multiple subspecial-ties. Anesthesiologists have an important role in acute, subacute, and long-term management. Identifying the phase of an electrical storm and understanding the characteristics of each morphology may help the anesthesiologist anticipate the management approach. In the acute phase, management of an electrical storm is aimed at providing advanced cardiac life support and identifying reversible causes. After initial stabiliza-tion, subacute management focuses on dampening the sympathetic surge with sedation, thoracic epidural, or stellate ganglion blockade. Defini-tive long-term management with surgical sympathectomy or catheter ablation also may be warranted. Our objective is to provide an overview of electrical storms and the anesthesiologist's role in management.& COPY; 2023 Elsevier Inc. All rights reserved.
引用
收藏
页码:1776 / 1784
页数:9
相关论文
共 56 条
[1]  
Al-Khatib SM, 2018, CIRCULATION, V138, pE272, DOI [10.1161/CIR.0000000000000548, 10.1161/CIR.0000000000000549]
[2]   EHRA/HRS Expert Consensus on Catheter Ablation of Ventricular Arrhythmias [J].
Aliot, Etienne M. ;
Stevenson, William G. ;
Almendral-Garrote, Jesus Ma ;
Bogun, Frank ;
Calkins, C. Hugh ;
Delacretaz, Etienne ;
Della Bella, Paolo ;
Hindricks, Gerhard ;
Jais, Pierre ;
Josephson, Mark E. ;
Kautzner, Josef ;
Kay, G. Neal ;
Kuck, Karl-Heinz ;
Lerman, Bruce B. ;
Marchlinski, Francis ;
Reddy, Vivek ;
Schalij, Martin-Jan ;
Schilling, Richard ;
Soejima, Kyoko ;
Wilber, David .
EUROPACE, 2009, 11 (06) :771-817
[3]   Management of monomorphic ventricular tachycardia electrical storm in structural heart disease [J].
AlKalbani, Ahmed ;
AlRawahi, Najib .
JOURNAL OF THE SAUDI HEART ASSOCIATION, 2019, 31 (03) :135-144
[4]   Catheter ablation versus medical therapy for treatment of ventricular tachycardia associated with structural heart disease: Systematic review and meta-analysis of randomized controlled trials and comparison with observational studies [J].
Anderson, Robert D. ;
Ariyarathna, Nilshan ;
Lee, Geoffrey ;
Virk, Sohaib ;
Trivic, Ivana ;
Campbell, Timothy ;
Chow, Clara K. ;
Kalman, Jonathan ;
Kumar, Saurabh .
HEART RHYTHM, 2019, 16 (10) :1484-1491
[5]   J-Wave syndromes expert consensus conference report: Emerging concepts and gaps in knowledge [J].
Antzelevitch, Charles ;
Yan, Gan-Xin ;
Ackerman, Michael J. ;
Borggrefe, Martin ;
Corrado, Domenico ;
Guo, Jihong ;
Gussak, Ihor ;
Hasdemir, Can ;
Horie, Minoru ;
Huikuri, Heikki ;
Ma, Changsheng ;
Morita, Hiroshi ;
Nam, Gi-Byoung ;
Sacher, Frederic ;
Shimizu, Wataru ;
Viskin, Sami ;
Wilde, Arthur A. M. .
HEART RHYTHM, 2016, 13 (10) :E295-E324
[6]   Extracorporeal Membrane Oxygenation for Hemodynamic Support of Ventricular Tachycardia Ablation [J].
Baratto, Francesca ;
Pappalardo, Federico ;
Oloriz, Teresa ;
Bisceglia, Caterina ;
Vergara, Pasquale ;
Silberbauer, John ;
Albanese, Nicolo ;
Cireddu, Manuela ;
D'Angelo, Giuseppe ;
Di Prima, Ambra Licia ;
Monaco, Fabrizio ;
Paglino, Gabriele ;
Radinovic, Andrea ;
Regazzoli, Damiano ;
Silvetti, Simona ;
Trevisi, Nicola ;
Zangrillo, Alberto ;
Della Bella, Paolo .
CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY, 2016, 9 (12)
[7]  
Bharadwaj Aditya, 2022, JACC Case Rep, V4, P639, DOI 10.1016/j.jaccas.2022.02.016
[8]   Ventricular Tachycardia Ablation in Non-ischemic Cardiomyopathy [J].
Bhaskaran, Ashwin ;
De Silva, Kasun ;
Rao, Karan ;
Campbell, Timothy ;
Trivic, Ivana ;
Bennett, Richard G. ;
Kizana, Eddy ;
Kumar, Saurabh .
KOREAN CIRCULATION JOURNAL, 2020, 50 (03) :203-219
[9]   Neuraxial Modulation for Refractory Ventricular Arrhythmias Value of Thoracic Epidural Anesthesia and Surgical Left Cardiac Sympathetic Denervation [J].
Bourke, Tara ;
Vaseghi, Marmar ;
Michowitz, Yoav ;
Sankhla, Vineet ;
Shah, Mandar ;
Swapna, Nalla ;
Boyle, Noel G. ;
Mahajan, Aman ;
Narasimhan, Calambur ;
Lokhandwala, Yash ;
Shivkumar, Kalyanam .
CIRCULATION, 2010, 121 (21) :2255-2262
[10]   Effects of beta-blockers on implantable cardioverter defibrillator therapy and survival in the patients with ischemic cardiomyopathy (from the Multicenter Automatic Defibrillator Implantation Trial-II) [J].
Brodine, WN ;
Tung, RT ;
Lee, JK ;
Hockstad, ES ;
Moss, AJ ;
Zareba, W ;
Hall, WJ ;
Andrews, M ;
McNitt, S ;
Daubert, JP .
AMERICAN JOURNAL OF CARDIOLOGY, 2005, 96 (05) :691-695