Clinical management of electrical storm: a current overview.

Fabrizio Guarracini, Michela Casella, Daniele Muser, Gaetano Barbato, Pasquale Notarstefano, Giuseppe Sgarito, Massimiliano Marini, Giuseppe Grandinetti, Marco V Mariani, Giuseppe Boriani, Renato P Ricci, Roberto De Ponti, Carlo Lavalle

Journal: Journal of cardiovascular medicine (Hagerstown, Md.) 2021;22(9):669-679

PMID: 32925390

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Abstract

The number of patients affected by electrical storm has been continuously increasing in emergency departments. Patients are often affected by multiple comorbidities requiring multidisciplinary interventions to achieve a clinical stability. Careful reprogramming of cardiac devices, correction of electrolyte imbalance, knowledge of underlying heart disease and antiarrhythmic drugs in the acute phase play a crucial role. The aim of this review is to provide a comprehensive overview of pharmacological treatment, latest transcatheter ablation techniques and advanced management of patients with electrical storm.

Address: Department of Cardiology, S. Chiara Hospital, Trento.; Heart Rhythm Center, Centro Cardiologico Monzino, Milan.; Department of Clinical, Special and Dental Sciences, Cardiology and Arrhythmology Clinic, University Hospital 'UmbertoI-Lancisi-Salesi', Marche Polytechnic University, Ancona.; Cardiothoracic Department, University Hospital of Udine, Udine.; Cardiology Division, Ospedale Maggiore di Bologna, Bologna.; Cardiology Division, Ospedale San Donato, Arezzo.; Cardiology Division, ARNAS Ospedale Civico e Benfratelli, Palermo.; Department of Cardiology, Policlinico di Bari, Bari.; Department of Cardiology, Policlinico Universitario Umberto I, Roma.; Cardiology Division, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Policlinico di Modena, Modena.; Centro Cardio-Aritmologico, Roma.; Department of Heart and Vessels, Ospedale di Circolo & Macchi Foundation, University of Insubria, Varese, Italy.

DOI: 10.2459/JCM.0000000000001107

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MeSH Terms: Anti-Arrhythmia Agents, Catheter Ablation, Humans, Patient Care Management, Tachycardia, Ventricular