Amiodarone infusion and 190 defibrillation shocks over 36 hours successfully terminated an incessant electrical storm in a Brugada syndrome patient, who remained arrhythmia-free at 1 year.
Case Report (n=1)
Amiodarone infusion and subsequent chronic oral therapy successfully managed a refractory electrical storm in a patient with Brugada syndrome.
A patient with Brugada syndrome experienced incessant ventricular fibrillation 7 years after implantation of an ICD. General anesthesia, fast ventricular pacing, bretylium, and atenolol infusion were ineffective; amiodarone infusion was started. After 190 defibrillation shocks over 36 hours, the electrical storm stopped. A multiorgan failure occurred as a complication of the electrical storm and necessitated prolonged reanimation. Thorough cardiac evaluation revealed no structural abnormality and the patient, now on chronic oral amiodarone therapy, remains free of arrhythmia 1 year after the event.
Chalvidan et al. (Wed,) conducted a case report in Brugada syndrome with electrical storm (n=1). Amiodarone infusion and defibrillation shocks was evaluated on Resolution of electrical storm. Amiodarone infusion and 190 defibrillation shocks over 36 hours successfully terminated an incessant electrical storm in a Brugada syndrome patient, who remained arrhythmia-free at 1 year.