{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T12:44:42Z","timestamp":1794314682767,"version":"4.9.0"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"Supplement_1","license":[{"start":{"date-parts":[[2024,4,17]],"date-time":"2024-04-17T00:00:00Z","timestamp":1713312000000},"content-version":"vor","delay-in-days":16,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4,17]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Arrhythmic storm is a clinical emergency associated with high mortality, which requires multi-disciplinary management. Reprogramming of the implantable cardiac defibrillator (ICD) aimed at reducing shocks, adrenergic blockade using beta-blockers, sedation\/anxiolysis, and blockade of the stellate ganglion represent the first simple and effective manoeuvres, but further suppression of arrhythmias with antiarrhythmics is often required. A low-risk patient (e.g. monomorphic ventricular tachycardia, functioning ICD, and haemodynamically stable) should be managed with a beta-blocker (possibly non-selective) plus amiodarone, in addition to sedation with a benzodiazepine or dexmedetomidine; in patients at greater risk (high burden and haemodynamic instability), autonomic modulation with blockade of the stellate ganglion and the addition of a second antiarrhythmic (lidocaine) should be considered. In patients refractory to these measures, with advanced heart failure, general anaesthesia with intubation and the establishment of a haemodynamic circulatory support should be considered. Ablation, performed early, appears to be superior in terms of mortality and reduction of future shocks compared with titration of antiarrhythmics.<\/jats:p>","DOI":"10.1093\/eurheartjsupp\/suae016","type":"journal-article","created":{"date-parts":[[2024,4,17]],"date-time":"2024-04-17T11:41:35Z","timestamp":1713354095000},"page":"i44-i48","source":"Crossref","is-referenced-by-count":2,"title":["The point on the treatment of arrhythmic storm"],"prefix":"10.1093","volume":"26","author":[{"given":"Ludovico","family":"Lazzari","sequence":"first","affiliation":[{"name":"SSD of Clinical and Interventional Arrhythmology, \u2018S. Maria\u2019 , Terni"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Donzelli","sequence":"additional","affiliation":[{"name":"SSD of Clinical and Interventional Arrhythmology, \u2018S. Maria\u2019 , Terni"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Tordini","sequence":"additional","affiliation":[{"name":"SSD of Clinical and Interventional Arrhythmology, \u2018S. Maria\u2019 , Terni"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Parise","sequence":"additional","affiliation":[{"name":"SSD of Clinical and Interventional Arrhythmology, \u2018S. Maria\u2019 , Terni"},{"name":"Cardiology, University of Perugia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ciro","family":"Pirozzi","sequence":"additional","affiliation":[{"name":"Cardiology Unit, \u2018S. Maria della Piet\u00e0\u2019 , Nola"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federica","family":"Di Meo","sequence":"additional","affiliation":[{"name":"SSD of Clinical and Interventional Arrhythmology, \u2018S. Maria\u2019 , Terni"},{"name":"SC of Cardiology, \u2018S. 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