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

作　　者：Gal Sella Sharon L. Kracoff 

机构地区：[1]Department of Cardiology, Kaplan Medical Center, Rehovot, Israel [2]Department of Anesthesiology, Kaplan Medical Center, Rehovot, Israel

出　　处：《Case Reports in Clinical Medicine》2018年第2期154-161,共8页临床医学病理报告（英文）

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.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.

关 键 词：VT STORM ARRHYTHMIA Potassium HYPOKALEMIA 

分 类 号：R5[医药卫生—内科学]