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Ventricular Tachycardia Storm Management in Acute Cardiac Care: Prompt response to life-threatening conditions

Heart Science Journal · Vol. 4 No. 1 (2023) · hlm. 40–43

DOI
10.21776/ub.hsj.2023.004.01.7
ISSN
2721-9984, 2721-9976
Terbit
2023-01-29
Penerbit
Universitas Brawijaya
Bahasa
en

Abstrak

Background: Ventricular Tachycardia (VT) storm or electrical storm (ES) is defined as cardiac electrical instability and refers to the occurrence of three or more ventricular tachyarrhythmias (VT and or ventricular fibrillation (VF)) in a 24-hour period, or VT recurring soon (within five minutes) after termination of another VT episode, or sustained or no sustained VT with total ectopic beats greater than sinus beats in a 24-hour period. The frequency of VT storms varies on population. When ICDs are implanted for primary prevention (4 percent), it is lower than when they are implanted for secondary prevention (20 percent).Case Summary: We presented patient with Ventricular Tachycardia (VT) storm. A 63-year old woman was admitted to emergency room with chief complaint frequent episodes of palpitation. She was found to have monomorphic VT with unstable hemodynamic. Then she got cardioversion 100 Joule, continued with lidocaine drip and VT reverted to sinus rhythm. Patient admitted to cardiovascular care unit, but she had VT refractory. She got complete revascularization for coronary artery before, but the episodic of VT still occurred with cardiogenic shock (CS) and pulmonary edema. She got cardioversion, amiodarone iv and inotropes, then observed this patient at CVCU. After the condition stable, this patient was discharged and planned for ICD insertion at the next admission.Discussion: We discuss the various available treatment options for VT storm and practical challenges faced in management of hemodynamically unstable VT storm. Initial management involves identifying and correcting the underlying ischemia, electrolyte imbalances, or other inciting factors.

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  • University of Brawijaya
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Rekan penulisOrganisasiArtikel bersama
Indra PrasetyaUniversity of Brawijaya43
Anna Fuji RahimahUniversity of Brawijaya37
Cholid Tri TjahjonoUniversity of Brawijaya30
Budi SatrijoUniversity of Brawijaya29
Novi KurnianingsihUniversity of Brawijaya26
Sasmojo WiditoUniversity of Brawijaya22
Djanggan SargowoUniversity of Brawijaya18
Heny MartiniUniversity of Brawijaya18
Yoga WaranugrahaUniversity of Brawijaya14
Adhika Prastya WikanandaUniversity of Brawijaya9
Wella KarolinaUniversity of Brawijaya8
Tri AstiawatiUniversity of Brawijaya7
Valerinna YogibuanaAfiliasi tidak diketahui7
Putri Annisa KamilaUniversity of Brawijaya5
Muhammad Rizki FadlanUniversity of Brawijaya5
Olivia HandayaniUniversity of Brawijaya5
Krishna Ari NugrahaUniversity of Brawijaya5
Valerinna Yogibuana Swastika PutriUniversity of Brawijaya5
Fandy HazzyUniversity of Brawijaya4
Icmi Dian RochmawatiUniversity of Brawijaya4
Anna Fuji RahimahAfiliasi tidak diketahui4
Cik KahadiUniversity of Brawijaya4
Nikhen NoverikeUniversity of Brawijaya4
Dadang HendrawanUniversity of Brawijaya3
Hayla Iqda MillisaniUniversity of Brawijaya3
Oktivani Adelathifa RahmaUniversity of Brawijaya3
Yoseph Budi UtomoUniversity of Brawijaya3
Seprian WidasmaraUniversity of Brawijaya3
Tria Yudha NugrahaUniversity of Brawijaya3
Lutfi Hafiz ZunardiUniversity of Brawijaya3
Mokhamad Aswin BaharUniversity of Brawijaya3
Ira Vori NugrohoUniversity of Brawijaya3
Imam Mi'raj SuprayogaUniversity of Brawijaya3
Shalahuddin Suryo BaskoroUniversity of Brawijaya3
Veny KurniawatiUniversity of Brawijaya2
Ardian RizalUniversity of Brawijaya2

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Sumber metadata: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en">Ventricular Tachycardia Storm Management in Acute Cardiac Care:  Prompt response to life-threatening conditions</dc:title>
	<dc:creator xml:lang="en">Lestari, Puspa</dc:creator>
	<dc:creator xml:lang="en">Anjarwani, Setyasih</dc:creator>
	<dc:creator xml:lang="en">Rohman, Mohammad Saifur</dc:creator>
	<dc:creator xml:lang="en">Rizal, Ardian</dc:creator>
	<dc:subject xml:lang="en">VT Storm</dc:subject>
	<dc:subject xml:lang="en">cardioversion</dc:subject>
	<dc:subject xml:lang="en">ICD</dc:subject>
	<dc:subject xml:lang="en">life-threatening</dc:subject>
	<dc:description xml:lang="en">Background: Ventricular Tachycardia (VT) storm or electrical storm (ES) is defined as cardiac electrical instability and refers to the occurrence of three or more ventricular tachyarrhythmias (VT and or ventricular fibrillation (VF)) in a 24-hour period, or VT recurring soon (within five minutes) after termination of another VT episode, or sustained or no sustained VT with total ectopic beats greater than sinus beats in a 24-hour period. The frequency of VT storms varies on population. When ICDs are implanted for primary prevention (4 percent), it is lower than when they are implanted for secondary prevention (20 percent).Case Summary: We presented patient with Ventricular Tachycardia (VT) storm. A 63-year old woman was admitted to emergency room with chief complaint frequent episodes of palpitation. She was found to have monomorphic VT with unstable hemodynamic. Then she got cardioversion 100 Joule, continued with lidocaine drip and VT reverted to sinus rhythm. Patient admitted to cardiovascular care unit, but she had VT refractory. She got complete revascularization for coronary artery before, but the episodic of VT still occurred with cardiogenic shock (CS) and pulmonary edema. She got cardioversion, amiodarone iv and inotropes, then observed this patient at CVCU. After the condition stable, this patient was discharged and planned for ICD insertion at the next admission.Discussion: We discuss the various available treatment options for VT storm and practical challenges faced in management of hemodynamically unstable VT storm. Initial management involves identifying and correcting the underlying ischemia, electrolyte imbalances, or other inciting factors.</dc:description>
	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2023-01-29</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://heartscience.ub.ac.id/index.php/heartscience/article/view/1346</dc:identifier>
	<dc:identifier>10.21776/ub.hsj.2023.004.01.7</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 4 No. 1 (2023): Optimizing Outcome in Acute Cardiac Care; 40-43</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2023.004.01</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/1346/238</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2023 Puspa Lestari</dc:rights>
</oai_dc:dc>