International Heart Journal
Online ISSN : 1349-3299
Print ISSN : 1349-2365
ISSN-L : 1349-2365
Case Reports
Successful Treatment of Refractory Electrical Storm With Landiolol After More Than 100 Electrical Defibrillations
Kenta Kanamori, Takashi Aoyagi, Takashi Mikamo, Kenta Tsutsui, Tomoyuki Kunishima, Hideko Inaba, Noriyuki Hayami, Yuji Murakawa
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Keywords: Ventricular tachycardia, Beta-blocker, Myocardial infarction, Transthoracic defibrillation
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2015 Volume 56 Issue 5 Pages 555-557

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Abstract

Electrical storm (ES) was observed in an 82-year-old man with recent myocardial infarction. Conventional therapy, including amiodarone, could not suppress the ES. After more than 100 electrical defibrillations, we were finally able to control the ES with the administration of landiolol. It is known that landiolol can inhibit ES. However, we hesitate to use landiolol in patients with low cardiac output. We would like to emphasize that careful use of landiolol should be considered in patients with refractory ES after myocardial infarction, although cardiac output is severely reduced.

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© 2015 by the International Heart Journal Association
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