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Resetting of Cardiac Ventricular Tachycardia Storm with Intravenous Potassium Chloride: A Case Report

Resetting of Cardiac Ventricular Tachycardia Storm with Intravenous Potassium Chloride: A Case Report

作     者:Gal Sella Sharon L. Kracoff 

作者机构:Department of Cardiology Kaplan Medical Center Rehovot Israel Department of Anesthesiology Kaplan Medical Center Rehovot Israel 

出 版 物:《Case Reports in Clinical Medicine》 (临床医学病理报告(英文))

年 卷 期:2018年第7卷第2期

页      面:154-161页

学科分类:1002[医学-临床医学] 100201[医学-内科学(含:心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主  题:VT Storm Arrhythmia Potassium Hypokalemia 

摘      要:Ventricular Tachycardia Storm (VTS) with hemodynamic instability is a life-threatening arrhythmia more often presents in patients with structural heart disease. Lack of response to cardioversion and/or antiarrhythmic drugs will have fatal consequences. We report a case of a hemodynamically unstable patient with Ventricular Tachycardia Storm refractory to intravenous antiarrhythmic medications, which finally responded to a slow bolus of IV potassium chloride. This case emphasizes the importance of identifying an electrolyte imbalance as a possible cause of a Ventricular Tachycardia storm and its rapid correction as an addition to the usual pharmacological treatment.

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