Pharmacological Treatment of Electrical Storm in Cathecolaminergic Polymorphic Ventricular Tachycardia

We present a case of a young boy who had an implantable cadrioverter defibrillator implanted for refractory syncope and cathecolaminergic polymorphic ventricular tachycardia (CPVT). The patient underwent an electrical storm with multiple shocks and serious compromise of quality of life and risk. The...

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Bibliographic Details
Published in:Pacing and clinical electrophysiology 2010-03, Vol.33 (3), p.e27-e31
Main Authors: FAGUNDES, ALEXSANDRO, DE MAGALHAES, LUIZ PEREIRA, RUSSO, MARCELO, XAVIER, EDVALDO
Format: Article
Language:English
Subjects:
Adolescent
Anti-Arrhythmia Agents - therapeutic use
Atenolol - therapeutic use
CPVT
Defibrillators, Implantable
Drug Therapy, Combination
electrical storm
Electrocardiography
Exercise Test
Humans
ICD
Male
Nadolol - therapeutic use
Quality of Life
shock
Syncope - prevention & control
Tachycardia, Ventricular - diagnosis
Tachycardia, Ventricular - drug therapy
Tachycardia, Ventricular - prevention & control
verapamil
Verapamil - therapeutic use
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Summary:We present a case of a young boy who had an implantable cadrioverter defibrillator implanted for refractory syncope and cathecolaminergic polymorphic ventricular tachycardia (CPVT). The patient underwent an electrical storm with multiple shocks and serious compromise of quality of life and risk. The pharmacological options are discussed as well as the strategies of managing ventricular arrhythmias in CPVT. (PACE 2010; 33:e27–e31)
ISSN:0147-8389
1540-8159
DOI:10.1111/j.1540-8159.2009.02586.x