Successful Treatment of Refractory Electrical Storm With Landiolol After More Than 100 Electrical Defibrillations.
Electrical storm (ES) was observed in an 82-year-old man with recent myocardial infarction. Conventional therapy, including amiodarone, could not suppress the ES. After more than 100 electrical defibrillations, we were finally able to control the ES with the administration of landiolol. It is known that landiolol can inhibit ES. However, we hesitate to use landiolol in patients with low cardiac output. We would like to emphasize that careful use of landiolol should be considered in patients with refractory ES after myocardial infarction, although cardiac output is severely reduced.
Department of Internal Medicine, Teikyo University School of Medicine University Hospital.
Kenta
K
Kanamori
Takashi
T
Aoyagi
Takashi
T
Mikamo
Kenta
K
Tsutsui
Tomoyuki
T
Kunishima
Hideko
H
Inaba
Noriyuki
N
Hayami
Yuji
Y
Murakawa
D000319:Adrenergic beta-Antagonists / Q000008:administration & dosage; D000369:Aged, 80 and over; D017023:Coronary Angiography / Q000379:methods; D004554:Electric Countershock / Q000379:methods*; D004562:Electrocardiography; D006801:Humans; D008297:Male; D009025:Morpholines / Q000008:administration & dosage*; D009203:Myocardial Infarction / Q000150:complications / Q000503:physiopathology; D017180:Tachycardia, Ventricular / Q000209:etiology / Q000503:physiopathology; D016896:Treatment Outcome; D014508:Urea / Q000008:administration & dosage / Q000031:analogs & derivatives*
D000319:Adrenergic beta-Antagonists; D009025:Morpholines; C077049:landiolol; D014508:Urea