Open Access

Successful treatment of cardiac electrical storm in dilated cardiomyopathy using esmolol: A case report

  • Authors:
    • Li Li
    • Yuan‑Li Zhou
    • Xue‑Jing Zhang
    • Hua‑Ting Wang
  • View Affiliations

  • Published online on: April 20, 2016     https://doi.org/10.3892/etm.2016.3281
  • Pages: 107-110
  • Copyright: © Li et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

The present study reports a case of electrical storm occurring in a 43‑year‑old woman with dilated cardiomyopathy. The patient suffered from a cardiac electrical storm, with 98 episodes of ventricular tachycardia rapidly degenerating to ventricular fibrillation in hospital. The patient was converted with a total of 120 defibrillations. Recurrent ventricular tachycardia/fibrillation was initiated by premature ventricular beats. The patient did not respond to the use of amiodaronum. However, the administration of esmolol stabilized the patient's heart rhythm. A moderate dose of the β‑blocker esmolol, administered as an 0.5‑mg intravenous bolus injection followed by an infusion at a rate of 0.15 mg/kg/min, inhibited the recurrence of ventricular fibrillation and normalized the electrocardiographic pattern. The results suggest that esmolol may be able to improve the survival rate of patients with electrical storm in dilated cardiomyopathy and should be considered as a primary therapy in the management of cardiac electrical storms.
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July-2016
Volume 12 Issue 1

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Li L, Zhou YL, Zhang XJ and Wang HT: Successful treatment of cardiac electrical storm in dilated cardiomyopathy using esmolol: A case report. Exp Ther Med 12: 107-110, 2016
APA
Li, L., Zhou, Y., Zhang, X., & Wang, H. (2016). Successful treatment of cardiac electrical storm in dilated cardiomyopathy using esmolol: A case report. Experimental and Therapeutic Medicine, 12, 107-110. https://doi.org/10.3892/etm.2016.3281
MLA
Li, L., Zhou, Y., Zhang, X., Wang, H."Successful treatment of cardiac electrical storm in dilated cardiomyopathy using esmolol: A case report". Experimental and Therapeutic Medicine 12.1 (2016): 107-110.
Chicago
Li, L., Zhou, Y., Zhang, X., Wang, H."Successful treatment of cardiac electrical storm in dilated cardiomyopathy using esmolol: A case report". Experimental and Therapeutic Medicine 12, no. 1 (2016): 107-110. https://doi.org/10.3892/etm.2016.3281