Algorithm for the Management of Ventricular Tachycardia Electrical Storm
ES diagnosed (≥ 3 episodes of VT/ICD therapies in 24h)
Does patient have ICD?
Assess hemodynamic stability
Unstable
• Electrical cardioversion as per ACLS
• If ICD not terminating arrhythmia, magnet + external cardioversion
Stable
1. Identification and correction of reversible causes
2. Assessment of VT
Monomorphic VT
• +ICD
• -ICD
Polymorphic VT
• Normal QTc
• Long QTc (Torsades) / Acquired
- Dr. Lindsay Cheskes and Dr. Kathleen O'Connell
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