Intra-Operative Lidocaine Management in the Setting of Ventricular Tachycardia Storm: A Case Report.

作者信息

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

机构信息

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.

出版信息

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.