Key result
Stepwise electrical storm management progresses from anti-arrhythmic drugs to deep sedation, early ablation, and mechanical support.
Why the study?
Electrical storm incidence is rising, carries a poor prognosis, and early management is critical to reducing acute mortality and improving quality of life.
This review provides a practical overview of emergency management strategies for electrical storm, highlighting the importance of early intervention with drugs, sedation, ablation, and mechanical support.
Supports stepwise electrical storm care; leaves open optimal sequencing pending randomized trials.
Electrical storm is a medical emergency characterized by ventricular arrythmia recurrence that can lead to hemodynamic instability. The incidence of this clinical condition is rising, mainly in implantable cardioverter defibrillator patients, and its prognosis is often poor. Early acknowledgment, management and treatment have a key role in reducing mortality in the acute phase and improving the quality of life of these patients. In an emergency setting, several measures can be employed. Anti-arrhythmic drugs, based on the underlying disease, are often the first step to control the arrhythmic burden; besides that, new therapeutic strategies have been developed with high efficacy, such as deep sedation, early catheter ablation, neuraxial modulation and mechanical hemodynamic support. The aim of this review is to provide practical indications for the management of electrical storm in acute settings.
No takes yet. Share an insight, caveat, or question.
Guarracini et al. (2023) conducted a review in Electrical storm. Emergency management strategies was evaluated. Emergency management of electrical storm utilizes anti-arrhythmic drugs as a first step, followed by deep sedation, early catheter ablation, neuraxial modulation, and mechanical hemodynamic support.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: