Intravenous amiodarone suppression of electrical storm refractory to chronic oral amiodarone.
We report the case of an electrical storm in a cardiac arrest survivor with an ICD, in whom chronic oral amiodarone failed to suppress ventricular arrhythmias, and in whom intravenous amiodarone resulted in stability for 6 weeks prior to successful cardiac transplantation. Intravenous amiodarone can be successful in suppressing life-threatening ventricular arrhythmias, even when chronic oral amiodarone is unsuccessful.
Kavesh
N G
NG
Department of Medicine, University of Maryland Medical System, Baltimore 21201, USA.
Olsovsky
M R
MR
Freudenberger
R S
RS
Conte
J V
JV
Peters
R W
RW
Shorofsky
S R
SR
Gold
M R
MR
D000284:Administration, Oral; D000638:Amiodarone / Q000008:administration & dosage / Q000097:blood / Q000627:therapeutic use*; D000889:Anti-Arrhythmia Agents / Q000008:administration & dosage / Q000097:blood / Q000627:therapeutic use*; D017147:Defibrillators, Implantable; D005500:Follow-Up Studies; D006323:Heart Arrest / Q000628:therapy; D016027:Heart Transplantation; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D017180:Tachycardia, Ventricular / Q000188:drug therapy* / Q000601:surgery
D000889:Anti-Arrhythmia Agents; D000638:Amiodarone