title: Temporary overdriving pacing as an adjunct to antiarrhythmic drug therapy for electrical storm in acute myocardial infarction.
abstract: A-55-year-old man with diabetes mellitus was admitted to hospital because of chest pain. He was diagnosed as anterior acute myocardial infarction and treated with stent placement. After 7 days, ventricular fibrillation occurred because of a subacute reocclusion and balloon angioplasty was performed. Despite reperfusion therapy, intraaortic balloon pumping, antiarrhythmic drugs and beta-blocker, ventricular tachycardia or fibrillation relapsed and cardioversion was performed 29 times during 32 h. Temporary overdrive atrioventricular sequential pacing was initiated and the malignant arrhythmia finally disappeared. Even after stoppage of 25 h overdride pacing, it never recurred. Temporary overdrive pacing is an easy and feasible therapy for a drug-resistant electrical storm associated with AMI and should be performed in the early stage.
authors.affiliation: Department of Cardiology, Hiroshima City Hospital, Hiroshima, Japan. skurisu@nifty.com
authors.forename: Satoshi
authors.initials: S
authors.lastname: Kurisu
authors.forename: Ichiro
authors.initials: I
authors.lastname: Inoue
authors.forename: Takuji
authors.initials: T
authors.lastname: Kawagoe
authors.forename: Masaharu
authors.initials: M
authors.lastname: Ishihara
authors.forename: Yuji
authors.initials: Y
authors.lastname: Shimatani
authors.forename: Naoya
authors.initials: N
authors.lastname: Mitsuba
authors.forename: Takaki
authors.initials: T
authors.lastname: Hata
authors.forename: Yasuharu
authors.initials: Y
authors.lastname: Nakama
authors.forename: Tomohiko
authors.initials: T
authors.lastname: Kisaka
authors.forename: Yasufumi
authors.initials: Y
authors.lastname: Kijima
mesh_terms: D000208:Acute Disease; D000800:Angioplasty, Balloon; D000889:Anti-Arrhythmia Agents / Q000008:administration & dosage*; D002304:Cardiac Pacing, Artificial; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000628:therapy*
chemical_list: D000889:Anti-Arrhythmia Agents