心室性心动过速风暴情况下的术中利多卡因管理：病例报告

Williams Cassandra, Diz Ferre Jose L, Ikram Jibran, Chung Roy, Ayad Sabry

Department of Anesthesiology Cleveland Clinic Fairview Hospital Cleveland Ohio USA.

Section of Cardiac Electrophysiology and Pacing, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute Cleveland Ohio USA.

Clin Case Rep. 2025 Sep 26;13(10):e71039. doi: 10.1002/ccr3.71039. eCollection 2025 Oct.

Effective management of VT storm during catheter ablation involves discontinuation of antiarrhythmic agents to facilitate VT induction for mapping of the critical isthmus. Lidocaine is an ideal agent since arrhythmias remain inducible after its discontinuation. In addition to providing hemodynamic support, dopamine assists by prolonging induced VT for optimal mapping.

在导管消融期间对室性心动过速风暴进行有效管理，需要停用抗心律失常药物，以利于诱发室性心动过速来标测关键峡部。利多卡因是一种理想的药物，因为在停用后心律失常仍可诱发。多巴胺除了提供血流动力学支持外，还通过延长诱发的室性心动过速来辅助进行最佳标测。