Valves replacement operation in treatment of electrical storm induced by rheumatic valves disease
Valves replacement operation in treatment of electrical storm induced by rheumatic valves disease
摘要
Objective： To present a case of electrical storm （ES） in a female patient with rheumatic valve disease. Methods： A female patient with severe rheumatic valve disease suffered an unexpected ES. She received more than 50 electrical shocks for repeated cardiac arrests due to ES over 16 hours. Then she received beta-blocking agent treatment and had an operation of double valves replacement. Results： ES was suppressed by sympathetic blockade with beta-receptor blocker and finally disappeared after the double pathological valves had been replaced. Conclusion： Increased sympathetic activity plays an important role in the genesis of electrical storm and sympathetic blockade may effectively suppress ES. However, the most important thing in the treatment of ES is to identify and eliminate the underlying cause of ES.
Objective： To present a case of electrical storm （ES） in a female patient with rheumatic valve disease. Methods： A female patient with severe rheumatic valve disease suffered an unexpected ES. She received more than 50 electrical shocks for repeated cardiac arrests due to ES over 16 hours. Then she received beta-blocking agent treatment and had an operation of double valves replacement. Results： ES was suppressed by sympathetic blockade with beta-receptor blocker and finally disappeared after the double pathological valves had been replaced. Conclusion： Increased sympathetic activity plays an important role in the genesis of electrical storm and sympathetic blockade may effectively suppress ES. However, the most important thing in the treatment of ES is to identify and eliminate the underlying cause of ES.
参考文献10
-
1Okada.T,Yamada T,Murakami Y,Yoshida N,Ninomiya Y,and Toyama J.Mapping and Ablation of Trigger Premature Ventricular Contractions in a Case of Electrical Storm Associ- ated with Ischemic Cardiomyopathy[].Pacing and Clinical Electrophysiology.2007
-
2Dorian P,Cass D.An overview of the management of electrical storm[].Canadian Journal of Cardiology.1997
-
3Tanabe Y.Suppression of electrical storm by biventricular pac- ing in a patient with idiopathic dilated cardiomyopathy and ven- tricular tachycardia[].Pacing and Clinical Electrophysiology.2003
-
4Schmidt TD. and Muir AJ.A case of electrical storm in a liver transplant patient[].Transplantation Proceedings.2003
-
5Kowey PR,Levine JH,Herre JM.Randomized, double-blind comparison of intravenous amiodarone and bretylium in the treatment of patients with recurrent, hemodynamically destabi- lizing ventricular tachycardia or fibrillation.The Intravenous Amiodarone Multicenter Investigators Group[].Circulation.1995
-
6Perzanowski C. and Pai SM.Electrical storm after coronary artery bypass grafting due to a kinked left internal mammary artery graft[].Pacing and Clinical Electrophysiology.2004
-
7Nademanee K.Treating electrical storm: sympathetic blockade versus advanced cardiac life support-guided therapy[].Circulation.2000
-
8Babuty D,Lab M.Mechanoelectric contributions to sudden car- diac death[].Cardiovascular Research.2001
-
9Han SW.An electrical storm with more than 3000 shocks in a patient with an implantable cardioverter-defibrillator: is jet-lag a trigger[].International Journal of Cardiology.2005
-
10Arash A,Majid H,Mohammad RD,Amir FF,Nikoo MH,Bagherzadeh A. et al.Prevalence and Predictors of Electrical Storm in Patients With Implantable Cardioverter-Defibrillator[].The American Journal of Cardiology.2006
-
1郝在军,赵军.11例心脏瓣膜置换手术的麻醉处理[J].内蒙古煤炭经济,2005(2):81-82.
-
2高舜英.心脏瓣膜置换术后肺部并发症的临床分析[J].中国医药科学,2012,2(19):187-188.
-
3罗助荣,林毅,张克己,郑磊磊,盖晓波.急诊经皮冠状动脉介入救治急性心肌梗死后电风暴疗效分析[J].中华临床医师杂志（电子版）,2010,4(7):1134-1135. 被引量：3
-
4阮义峰,周钦海,傅诚章,王宁.乌司他丁对心脏直视手术患者围术期血清呼吸指数和白细胞介素-6的影响[J].临床麻醉学杂志,2009,25(8):685-686. 被引量：2
-
5张守华.七氟烷与丙泊酚麻醉在心脏瓣膜置换手术诱导期的应用分析[J].药物与人,2014,27(10):52-52.
-
6张祖仁,王一山,冯卓荣.DETECTION OF PRIMARY TISSUE FAILURE POTENTIAL OF BIOPROSTHETIC HEART VALVES IN A STERILE PULSE DUPLICATOR SYSTEM[J].Medical Bulletin of Shanghai Jiaotong University,1995,18(2):91-97.
-
7杨玲珍,钟敏华,王承炎.触电患者心电图分析（附15例报告）[J].上海医学,1995,18(2):98-99. 被引量：2
-
8许诚,李少波.电击伤致心房颤动2例[J].实用心电学杂志,2005,14(2):137-137.
-
9岳明美,延军.25例电击伤致呼吸心跳骤停院前急救体会[J].临床急诊杂志,2001,2(4):198-198.
-
10曾昭耆.她为什么突发“心绞痛”[J].大众健康,2002(3):12-12.
