Stepwise ablation strategy for post–myocardial infarction ventricular fibrillation: From arrhythmia suppression to ablation

Weathering the Storm

“…In this issue of the journal, Charton and colleagues 1 present a case report illustrating the management of ventricular fibrillation (VF) storm in a patient shortly after myocardial infarction where the conventional measures of antiarrhythmic drug therapy and autonomic modulation were insufficient to obtain hemodynamic stability and arrhythmia suppression. Rapid atrial pacing and subsequent catheter ablation targeting the initiating premature ventricular contraction (PVC) was required to stabilize the patient.…”