{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:25:02Z","timestamp":1787837102735,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:p>The incidence of recurrent ventricular arrhythmias is increasing these days. Ventricular electrical storm can be of three types as follows: monomorphic ventricular tachycardia (VT), polymorphic VT, and ventricular fibrillation. The mechanism of ventricular storm is complex, and its management is quite a challenge for the clinicians due to its life-threatening consequences. We report a case of ventricular storm in whom all the conventional methods for the management of arrhythmias were ineffective, and the case is managed effectively with thoracic epidural anesthesia (TEA). A 60-year-old male patient was admitted to recurrent ventricular arrhythmias. He received defibrillator shocks and other antiarrhythmic drugs, but he was not responding to the treatment. We managed to revert the ventricular arrhythmias to the sinus rhythm with TEA. Ventricular storm is a challenging complication, which can be managed effectively with timely diagnosis and effective management.<\/jats:p>","DOI":"10.4103\/aca.aca_98_18","type":"journal-article","created":{"date-parts":[[2019,10,4]],"date-time":"2019-10-04T06:25:35Z","timestamp":1570170335000},"page":"439-441","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":12,"title":["Management of Ventricular Storm with Thoracic Epidural Anesthesia"],"prefix":"10.4103","volume":"22","author":[{"given":"Shakuntala","family":"Basantwani","sequence":"first","affiliation":[{"name":"Department of Anaesthesia, LTMMC and LTMGH, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shital R","family":"Shinde","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, LTMMC and LTMGH, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bharati","family":"Tendolkar","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, LTMMC and LTMGH, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"Suppl A","key":"R1-20250602","first-page":"13A","article-title":"An overview of the management of electrical storm","volume":"13","author":"Dorian","year":"1997","journal-title":"Can J Cardiol"},{"key":"R2-20250602","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1097\/HCO.0b013e32835b59db","article-title":"Electrical storm: Definitions, clinical importance, and treatment","volume":"28","author":"Gao","year":"2013","journal-title":"Curr Opin Cardiol"},{"key":"R3-20250602","doi-asserted-by":"crossref","first-page":"2066","DOI":"10.1161\/01.CIR.103.16.2066","article-title":"Electrical storm presages nonsudden death: The antiarrhythmics versus implantable defibrillators (AVID) trial","volume":"103","author":"Exner","year":"2001","journal-title":"Circulation"},{"key":"R4-20250602","doi-asserted-by":"crossref","first-page":"877","DOI":"10.1056\/NEJMoa013474","article-title":"Prophylactic implantation of a defibrillator in patients with myocardial infarction and reduced ejection fraction","volume":"346","author":"Moss","year":"2002","journal-title":"N Engl J Med"},{"key":"R5-20250602","doi-asserted-by":"crossref","first-page":"1395","DOI":"10.1016\/j.hrthm.2007.07.013","article-title":"Ventricular arrhythmia storms in postinfarction patients with implantable defibrillators for primary prevention indications: A MADIT-II substudy","volume":"4","author":"Sesselberg","year":"2007","journal-title":"Heart Rhythm"},{"key":"R6-20250602","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1056\/NEJM198309083091001","article-title":"Survival after cardiopulmonary resuscitation in the hospital","volume":"309","author":"Bedell","year":"1983","journal-title":"N Engl J Med"},{"key":"R7-20250602","doi-asserted-by":"crossref","first-page":"2192","DOI":"10.1161\/CIRCULATIONAHA.110.016683","article-title":"Ca(2+)-related signaling and protein phosphorylation abnormalities play central roles in a new experimental model of electrical storm","volume":"123","author":"Tsuji","year":"2011","journal-title":"Circulation"},{"key":"R8-20250602","first-page":"111","article-title":"The evaluation and management of electrical storm","volume":"38","author":"Eifling","year":"2011","journal-title":"Tex Heart Inst J"},{"key":"R9-20250602","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1016\/j.eupc.2005.01.003","article-title":"Electrical storm is an independent predictor of adverse long-term outcome in the era of implantable defibrillator therapy","volume":"7","author":"Gatzoulis","year":"2005","journal-title":"Europace"},{"key":"R10-20250602","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1161\/01.CIR.0000134957.51747.6E","article-title":"Long-term comparison of the implantable cardioverter defibrillator versus amiodarone: Eleven-year follow-up of a subset of patients in the Canadian implantable defibrillator study (CIDS)","volume":"110","author":"Bokhari","year":"2004","journal-title":"Circulation"},{"key":"R11-20250602","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1161\/CIRCULATIONAHA.106.686534","article-title":"Catheter ablation for the treatment of electrical storm in patients with implantable cardioverter-defibrillators: Short- and long-term outcomes in a prospective single-center study","volume":"117","author":"Carbucicchio","year":"2008","journal-title":"Circulation"},{"key":"R12-20250602","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1111\/j.1540-8167.2009.01563.x","article-title":"Catheter ablation of recurrent scar-related ventricular tachycardia using electroanatomical mapping and irrigated ablation technology: Results of the prospective multicenter euro-VT-study","volume":"21","author":"Tanner","year":"2010","journal-title":"J Cardiovasc Electrophysiol"},{"key":"R13-20250602","doi-asserted-by":"crossref","first-page":"2255","DOI":"10.1161\/CIRCULATIONAHA.109.929703","article-title":"Neuraxial modulation for refractory ventricular arrhythmias: Value of thoracic epidural anesthesia and surgical left cardiac sympathetic denervation","volume":"121","author":"Bourke","year":"2010","journal-title":"Circulation"},{"key":"R14-20250602","first-page":"49","article-title":"The influence of high thoracic epidural analgesia on the cardiovascular system","volume":"39","author":"Hasenbos","year":"1988","journal-title":"Acta Anaesthesiol Belg"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.ACA_98_18","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:16:07Z","timestamp":1787836567000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.ACA_98_18"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10]]},"references-count":14,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_98_18","relation":{},"ISSN":["0971-9784","0974-5181"],"issn-type":[{"value":"0971-9784","type":"print"},{"value":"0974-5181","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10]]}}}