The beneficial effect of biventricular pacing on ventricular tachycardia in a patient with non-ischemic cardiomyopathy

Nicoletti, Ilaria; Tomei, Ruggero; Zanotto, Gabriele; Vecchia, Eros Dalla; Zorzi, Elisabetta; Vassanelli, Corrado

doi:10.1016/j.ijcard.2007.01.013

Cited by 5 publications

(5 citation statements)

References 19 publications

(16 reference statements)

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“…Similar to our case there are also two other case reports of ES suppression by biventricular pacing in patients with dilated cardiomyopathy and VT [2,3]. It has also been suggested that the incidence of ES is lower among patients treated with a CRT-D as compared to those treated with an implantable cardiac defibrillator [4].…”

Section: Discussionsupporting

confidence: 90%

“…A worrying incidence of proarrhythmic effect in the form of electrical storm (ES) after the institution of cardiac resynchronization therapy (CRT) has been repeatedly reported in the recent past [1]. However there are contradictory reports related to either the proarrhythmic [1] or the antiarrhythmic [2,3] potential of the CRT as far as the induction or/and suppression of ES. In line with these reports, we present a case of ES in a patient with dilated cardiomyopathy not responding to triple antiarrhythmic drug therapy, including sedation and intubation, but successfully suppressed after biventricular pacing.…”

Section: Introductionmentioning

confidence: 99%

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Electrical Storm in a Patient with Dilated Cardiomyopathy Suppressed with Cardiac Resynchronization Therapy

Tsiachris¹,

Kaitozis²,

Sideris³

et al. 2015

agr

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We present the case of a 55-year-old man with dilated cardiomyopathy and a syncopal episode who developed electrical storm with multiple instances of both monomorphic and polymorphic sustained ventricular tachycardia terminated by shocks in the face of worsening heart failure not responding to triple antiarrhythmic drug therapy including sedation and intubation in the coronary care unit. Hemodynamic improvement after cardiac resynchronization therapy with defibrillation backup (CRT-D) implantation brought about a dramatic response in the situation. This case report demonstrates the usefulness and efficiency of CRT-D as an option of treating electrical storm by improving ventricular function in the case of electrical instability being an expression of severe pump failure.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Electrical Storm in a Patient with Dilated Cardiomyopathy Suppressed with Cardiac Resynchronization Therapy

Tsiachris¹,

Kaitozis²,

Sideris³

et al. 2015

agr

View full text Add to dashboard Cite

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“…Biventricular pacing, cardioplasty or cardiac transplant may also be required to improve cardiac function. 5 Patients may develop ventricular arrhythmias in the perioperative period, so antiarrhythmic medications should be continued. Preoperative dehydration leading to hypotension during anaesthesia may be an issue as they are taking diuretics however preoperative hydration is not desirable as it may lead to congestive heart failure.…”

Section: Discussionmentioning

confidence: 99%

Anesthetic Management of an Elderly Patient with Dilated Cardiomyopathy and Hypothyroidism for Inter-Trochanteric Fracture

Subedi¹,

Aryal²,

Shrestha

2019

J Chitwan Med Coll

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Dilated cardiomyopathy is a primary myocardial disease characterized by left ventricular or biventricular dilation and impaired contractility. The anesthetic management of a patient with dilated cardiomyopathy undergoing a non-cardiac surgery is always challenging and may be associated with high mortality. Furthermore, perioperative morbidity becomes more frequent in the elderly with steep increases after the age of 75. We are reporting the successful anaesthetic management of a 93 years old patient with severe dilated cardiomyopathy planned for surgical repair of inter-trochanteric fracture under combined spinal anesthesia.

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“…Our patient was being managed with diuretics and beta blocker. Biventricular pacing, cardioplasty or cardiac transplant may also be required to improve cardiac function [4]. Biventricular pacing and cardioplasty is beneficial for patients with severe cardiomyopathy in moderate to severe congestive heart failure with ejection fraction <30%.…”

Section: Discussionmentioning

confidence: 99%

Anaesthetic management of peripartum cardiomyopathy for emergency caesarean section: A case report

Bansal¹,

Hooda²

2014

Cumhuriyet Med J

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Peripartum cardiomyopathy is a rare but life threatening condition. Anaesthetic management of a patient with peripartum cardiomyopathy for caesarean section is a major challenge for anaesthesiologist. Timely diagnosis of the condition, institution of appropriate medication regimen, a carefully chosen anaesthetic technique and vigilant perioperative monitoring are essential for optimizing outcome in these patients. The goals of anaesthetic management include maintenance of optimal ventricular preload and afterload while avoiding any anaesthesia induced myocardial depression. Keywords: Peripartum cardiomyopathy, caesarean secion, anaesthetic management ÖzetPeripartum kardiyomyopati nadir ancak yaşamı tehdit eden bir durumdur. Peripartum kardiyomyopatisi olan bir hastanın sezaryen ameliyatı için anestezisinin yönetimi anestezist açısından önemli bir sorundur.Durumun vaktinde tanı alması, uygun tedavi rejiminin oluşturulması, dikkatlice seçilmiş anestezi tekniği ve dikkatli perioperatif monitorizasyon uygulanması bu hastaların tedavi sonuçlarının en iyi hale getirilmesi açısından önemlidir.Anestezi yönetiminin hedefleri optimal ventriküler preload ve afterload sağlarken anestezinin indüklediği herhangi bir myokardiyal depresyondan kaçınmaktır.Anahtar sözcükler: Peripartum kardiyomiyopati, sezaryen, anestezi yönetimi Geliş tarihi

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The beneficial effect of biventricular pacing on ventricular tachycardia in a patient with non-ischemic cardiomyopathy

Cited by 5 publications

References 19 publications

Electrical Storm in a Patient with Dilated Cardiomyopathy Suppressed with Cardiac Resynchronization Therapy

Electrical Storm in a Patient with Dilated Cardiomyopathy Suppressed with Cardiac Resynchronization Therapy

Anesthetic Management of an Elderly Patient with Dilated Cardiomyopathy and Hypothyroidism for Inter-Trochanteric Fracture

Anaesthetic management of peripartum cardiomyopathy for emergency caesarean section: A case report

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