Treatment and Analysis of Ventricular Electrical Storm in Adult Patients After Cardiac Surgery
10.3969/j.issn.1000-3614.2017.09.022
- VernacularTitle:成人心脏外科术后心室电风暴处理与分析
- Author:
liang Guo FAN
1
;
nan Tie CHEN
;
gang Zhi LIU
;
qing Zheng WANG
;
yong Xiu LI
;
peng Zhi LI
;
Ying HUO
;
Yuan TANG
;
Quan LI
;
yi Zong XIU
Author Information
1. 泰达国际心血管病医院心脏外科术后监护室
- Keywords:
Arrtiythmias,cardiac;
Defibrillators,implantable;
Cardiac surgical procedures
- From:
Chinese Circulation Journal
2017;32(9):921-923
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the reason and treatment of ventricular electrical storm (VES) in adult patients after cardiac surgery.Methods:A total of 36 adult patients with VES after cardiac surgery in our hospital from 2011-08 to 2015-05 were retrospectively analyzed for their peri-operative and clinical conditions before and after VES occurrence.Results:All 36 patients suffered from VES after cardiac surgery during ICU stay including 23 patients with coronary artery bypass grafting (CABG),5 with CABG and ventricular aneurysm resection,5 with valve replacement,2 with Bentall operation and 1 with Marrow operation.There were 32/36 (88.89％) patients out of the breathing machine upon VES disappearing and discharged smoothly,4 (11.11％) patients died of multiple organ failure.There were 22 (61.11％) patients with myocardium ischemia induced VES.32 patients were followed-up for 1 year,28/36 (77.78％) patients recovered to sinus rhythm,2 (5.56％) received endocardial pacemaker placement and 2 (5.56％) suffered from atrial fibrillation;no cardiac death during follow-up period.Conclusion:VES was often occurred at the early stage in adult patients after cardiac surgery;it usually had clear reason or inducement,rapid and efficient treatment could achieve satisfactory results.
