Thoracic Epidural Anesthesia Can Be Effective for the Short‐Term Management of Ventricular Tachycardia Storm
2017
BackgroundNovel therapies aimed at modulating the autonomic nervous system, including thoracic epidural anesthesia (TEA), have been shown in small case series to be beneficial in treating medically refractory ventricular tachycardia (VT) storm. However, it is not clear when these options should be considered. We reviewed a multicenter experience with TEA in the management of VT storm to determine its optimal therapeutic use. Methods and ResultsData for 11 patients in whom TEA was instituted for VT storm between July 2005 and March 2016 were reviewed to determine the clinical characteristics, outcomes, and role in management. The clinical presentation was incessant VT in 7 (64%), with polymorphic VT in 3 (27%) and monomorphic VT in 8 (73%). The underlying conditions were nonischemic cardiomyopathy in 5 (45%), ischemic cardiomyopathy in 3 (27%), and hypertrophic cardiomyopathy, Brugada syndrome, and cardiac lipoma in 1 (9%) each. Five (45%) had a complete and 1 (9%) had a partial response to TEA; 4 of the c...
Keywords:
- Cardiac Lipoma
- Internal medicine
- Cardiology
- Ventricular tachycardia
- Brugada syndrome
- Cardiomyopathy
- Anesthesia
- Thoracic vertebrae
- Retrospective cohort study
- Medicine
- Ischemic cardiomyopathy
- Hypertrophic cardiomyopathy
- Anti-Arrhythmia Agents
- Ventricular Tachycardia Storm
- thoracic epidural
- Diabetes mellitus
- Autonomic nervous system
- treatment outcome
- Correction
- Source
- Cite
- Save
- Machine Reading By IdeaReader
39
References
33
Citations
NaN
KQI