Nifekalant hydrochloride terminated electrical storms after coronary surgery.
An "electrical storm" is a life-threatening condition defined as a recurrent attack of ventricular tachycardia or fibrillation. The current report is a case study of a patient who had electrical storms developing unexpectedly after undergoing coronary artery bypass grafting. The electrical storms were terminated dramatically by the administration of nifekalant hydrochloride. We suggest that nifekalant hydrochloride has great therapeutic potential for the suppression of intractable ventricular tachyarrhythmias refractory to amiodarone.
Kurisu
Kazuhiro
K
Department of Cardiovascular Surgery and Cardiovascular Medicine, Kitakyushu Municipal Medical Center, Kitakyushu, Japan. byou-iryou-cvs@city.kitakyushu.lg.jp
Hisahara
Manabu
M
Onitsuka
Hirofumi
H
Sekiya
Masatoshi
M
Ikeuchi
Masaki
M
Kozai
Toshiyuki
T
Urabe
Yoshitoshi
Y
D000368:Aged; D000889:Anti-Arrhythmia Agents / Q000008:administration & dosage; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000009:adverse effects* / Q000379:methods; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis / Q000188:drug therapy; D011744:Pyrimidinones / Q000008:administration & dosage*; D012720:Severity of Illness Index; D017180:Tachycardia, Ventricular / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology*; D016896:Treatment Outcome
D000889:Anti-Arrhythmia Agents; D011744:Pyrimidinones; C076259:nifekalant