We discuss Electrical Storm (VT storm) and how to care for the very irritable heart.
Hosts:
Brian Gilberti, MD
Reed Colling, MD



https://media.blubrry.com/coreem/content.blubrry.com/coreem/Electrical_Storm.mp3



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Tags: Cardiology





Show Notes
Background/Overview of VT:

Definition: What makes it a storm 

Three or more sustained episodes of VF, VT, or appropriate ICD shocks in a 24-hour period


Pathophysiology: Understanding the origin and mechanism

Sympathetic drive/adrenergic surge
Underlying pathology: Sodium channelopathies, infiltrative disease like cardiac sarcoidosis, etc.


RF’s / trigger / population (reversible cause in ~25% of patients)

MI
Electrolyte Derangements (emphasis on potassium and magnesium)
New/worsening heart failure
Catecholamine Surge
Drugs (stimulants,...