vt storm: diagnosis and management · table i. causes of electrical storm* i. enhanced sympathetic...

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VT storm: Diagnosis and management Dr Aftab Khan Director Electrophysiology Services Apollo Gleneagles Hospitals Kolkata

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Page 1: VT storm: Diagnosis and management · Table I. Causes of electrical storm* I. Enhanced sympathetic tone 2. Ischemia 3. Electrolyte imbalances (potassium, magnesium) 4. Genetic abnormalities

VT storm: Diagnosis

and management

Dr Aftab Khan

Director Electrophysiology Services

Apollo Gleneagles Hospitals

Kolkata

Page 2: VT storm: Diagnosis and management · Table I. Causes of electrical storm* I. Enhanced sympathetic tone 2. Ischemia 3. Electrolyte imbalances (potassium, magnesium) 4. Genetic abnormalities

What is electrical storm

Page 3: VT storm: Diagnosis and management · Table I. Causes of electrical storm* I. Enhanced sympathetic tone 2. Ischemia 3. Electrolyte imbalances (potassium, magnesium) 4. Genetic abnormalities

Definition

Page 4: VT storm: Diagnosis and management · Table I. Causes of electrical storm* I. Enhanced sympathetic tone 2. Ischemia 3. Electrolyte imbalances (potassium, magnesium) 4. Genetic abnormalities

Definition

Page 5: VT storm: Diagnosis and management · Table I. Causes of electrical storm* I. Enhanced sympathetic tone 2. Ischemia 3. Electrolyte imbalances (potassium, magnesium) 4. Genetic abnormalities

Incidence

Depends on the population studied

10-20% of all ICD recipients

Incidence lower when ICD implanted for primary prevention versus

secondary prevention

Incidence more in patients experiencing acute MI,past MI and those

with inherited channelopathies

Page 6: VT storm: Diagnosis and management · Table I. Causes of electrical storm* I. Enhanced sympathetic tone 2. Ischemia 3. Electrolyte imbalances (potassium, magnesium) 4. Genetic abnormalities
Page 7: VT storm: Diagnosis and management · Table I. Causes of electrical storm* I. Enhanced sympathetic tone 2. Ischemia 3. Electrolyte imbalances (potassium, magnesium) 4. Genetic abnormalities

Triggers and risk factors

Page 8: VT storm: Diagnosis and management · Table I. Causes of electrical storm* I. Enhanced sympathetic tone 2. Ischemia 3. Electrolyte imbalances (potassium, magnesium) 4. Genetic abnormalities

Clinical presentation

Page 9: VT storm: Diagnosis and management · Table I. Causes of electrical storm* I. Enhanced sympathetic tone 2. Ischemia 3. Electrolyte imbalances (potassium, magnesium) 4. Genetic abnormalities

Types of arrhythmias

Page 10: VT storm: Diagnosis and management · Table I. Causes of electrical storm* I. Enhanced sympathetic tone 2. Ischemia 3. Electrolyte imbalances (potassium, magnesium) 4. Genetic abnormalities

Clinical syndromes of

arrhythmic storms

Page 11: VT storm: Diagnosis and management · Table I. Causes of electrical storm* I. Enhanced sympathetic tone 2. Ischemia 3. Electrolyte imbalances (potassium, magnesium) 4. Genetic abnormalities
Page 12: VT storm: Diagnosis and management · Table I. Causes of electrical storm* I. Enhanced sympathetic tone 2. Ischemia 3. Electrolyte imbalances (potassium, magnesium) 4. Genetic abnormalities
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Types of rhythm

Page 14: VT storm: Diagnosis and management · Table I. Causes of electrical storm* I. Enhanced sympathetic tone 2. Ischemia 3. Electrolyte imbalances (potassium, magnesium) 4. Genetic abnormalities
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Monomorphic VT

Page 16: VT storm: Diagnosis and management · Table I. Causes of electrical storm* I. Enhanced sympathetic tone 2. Ischemia 3. Electrolyte imbalances (potassium, magnesium) 4. Genetic abnormalities
Page 17: VT storm: Diagnosis and management · Table I. Causes of electrical storm* I. Enhanced sympathetic tone 2. Ischemia 3. Electrolyte imbalances (potassium, magnesium) 4. Genetic abnormalities

Polymorphic VT

Page 18: VT storm: Diagnosis and management · Table I. Causes of electrical storm* I. Enhanced sympathetic tone 2. Ischemia 3. Electrolyte imbalances (potassium, magnesium) 4. Genetic abnormalities
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Page 24: VT storm: Diagnosis and management · Table I. Causes of electrical storm* I. Enhanced sympathetic tone 2. Ischemia 3. Electrolyte imbalances (potassium, magnesium) 4. Genetic abnormalities
Page 25: VT storm: Diagnosis and management · Table I. Causes of electrical storm* I. Enhanced sympathetic tone 2. Ischemia 3. Electrolyte imbalances (potassium, magnesium) 4. Genetic abnormalities
Page 26: VT storm: Diagnosis and management · Table I. Causes of electrical storm* I. Enhanced sympathetic tone 2. Ischemia 3. Electrolyte imbalances (potassium, magnesium) 4. Genetic abnormalities

ICD storm

Page 27: VT storm: Diagnosis and management · Table I. Causes of electrical storm* I. Enhanced sympathetic tone 2. Ischemia 3. Electrolyte imbalances (potassium, magnesium) 4. Genetic abnormalities
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