Leal Ricardo Teixeira, Monteiro Gabriel Costa, da Silva Menezes Júnior Antônio
Pontifícia Universidade Católica de Goiás, Escola de Ciências Médicas, Farmacêuticas e Biomédicas, Avenida Universitária 1440, Goiânia, Goiás, Brazil.
Pontifícia Universidade Católica de Goiás, Escola de Ciências Médicas, Farmacêuticas e Biomédicas, Avenida Universitária 1440, Goiânia, Goiás, Brazil.
Indian Pacing Electrophysiol J. 2017 Sep-Oct;17(5):140-145. doi: 10.1016/j.ipej.2017.07.012. Epub 2017 Jul 29.
The incidence of electrical storm (ES) has been increasing with the rise of the indicated uses of implantable cardioverter defibrillators (ICDs). It is estimated that 20% of patients will evolve to have this complication. Ablative therapy stands out as the treatment for this condition when it is refractory to antiarrhythmic treatment. The objective was to define the current role of catheter ablation in the treatment of electrical storm.
An integrative literature review was performed using the PubMed and BVS databases. All identified articles were screened and verified for eligibility by the authors.
Twenty-five out of the initial 951 articles were used in the final analysis. The categories listed for analysis included indication for ablation in ES, modality of the approach, therapeutic success, complications related to the procedure, mortality and cardiovascular follow-up and alternative therapeutic modalities by frequency of these categories in the articles researched.
Catheter ablation is the initial therapy for patients with ischemic cardiomyopathy (ICM) and ES. The endocardial approach presents more relevant success rates than the other therapeutic methods presented.
随着植入式心脏复律除颤器（ICD）适应证的增加，电风暴（ES）的发生率一直在上升。据估计，20%的患者会出现这种并发症。当抗心律失常治疗无效时，消融治疗是治疗这种疾病的突出方法。目的是确定导管消融在电风暴治疗中的当前作用。
使用PubMed和BVS数据库进行综合文献综述。所有识别出的文章均由作者进行筛选和资格验证。
最初的951篇文章中有25篇用于最终分析。列出的分析类别包括ES中消融的适应证、方法方式、治疗成功率、与手术相关的并发症、死亡率和心血管随访以及在所研究文章中这些类别的频率所涉及的替代治疗方式。
导管消融是缺血性心肌病（ICM）和ES患者的初始治疗方法。心内膜途径比其他所呈现的治疗方法具有更高的成功率。
