Chalvidan T, Deharo J C, Dieuzaide P, Defaye P, Djiane P
Service de Cardiologie, Hôpital Sainte-Marguerite, CHU Marseille, France.
Pacing Clin Electrophysiol. 2000 Mar;23(3):410-2. doi: 10.1111/j.1540-8159.2000.tb06772.x.
A patient with Brugada syndrome experienced incessant ventricular fibrillation 7 years after implantation of an ICD. General anesthesia, fast ventricular pacing, bretylium, and atenolol infusion were ineffective; amiodarone infusion was started. After 190 defibrillation shocks over 36 hours, the electrical storm stopped. A multiorgan failure occurred as a complication of the electrical storm and necessitated prolonged reanimation. Thorough cardiac evaluation revealed no structural abnormality and the patient, now on chronic oral amiodarone therapy, remains free of arrhythmia 1 year after the event.
