{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T03:38:34Z","timestamp":1767843514916,"version":"3.49.0"},"reference-count":10,"publisher":"California Digital Library (CDL)","issue":"3","license":[{"start":{"date-parts":[[2019,7,8]],"date-time":"2019-07-08T00:00:00Z","timestamp":1562544000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>We present the case of a 75-year-old man with vague symptoms and hypotension found to be in electrical storm secondary to sustained ventricular tachycardia. The patient did not respond to intravenous amiodarone, magnesium, lidocaine, or four cardioversion attempts. This case illustrates the challenges in managing patients with electrical storm presenting to the emergency department.<\/jats:p>","DOI":"10.5811\/cpcem.2019.5.43052","type":"journal-article","created":{"date-parts":[[2019,7,31]],"date-time":"2019-07-31T21:31:20Z","timestamp":1564608680000},"page":"215-218","source":"Crossref","is-referenced-by-count":1,"title":["Ventricular Tachycardia Storm Presenting as Vague Complaints to the Emergency Department"],"prefix":"10.5811","volume":"3","author":[{"given":"Ravneet","family":"Kamboj","sequence":"first","affiliation":[{"name":"Eastern Virginia Medical School, Department of Emergency Medicine, Norfolk, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andy","family":"Bunch","sequence":"additional","affiliation":[{"name":"Eastern Virginia Medical School, Department of Emergency Medicine, Norfolk, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Bernstein","sequence":"additional","affiliation":[{"name":"Sentara Cardiology Specialists, Department of Cardiology, Norfolk, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francis","family":"Counselman","sequence":"additional","affiliation":[{"name":"Eastern Virginia Medical School, Department of Emergency Medicine, Norfolk, Virginia; Emergency Physicians of Tidewater, Norfolk, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2019,7,8]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"2017 AHA\/ACC\/HRS Guideline for Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: Executive summary: A Report of the American College of Cardiology\/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Circulation. 2018;15(10):e190-252.","DOI":"10.1161\/cir.0000000000000615"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"European Heart Rhythm Association; Heart Rhythm Society, Zipes DP, Camm AJ, Borggrefe M, et al.  ACC\/AHA\/ESC 2006 Guidelines for Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death; a report of the American College of Cardiology\/American Heart Association Task Force and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Develop Guidelines for Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death). J Am Coll Cardiol 2006;48(5):e247-346.","DOI":"10.1093\/eurheartj\/ehl199"},{"key":"ref2","unstructured":"Eifling M, Razavi M, Massumi A.  The evaluation and management of electrical storm. Tex Heart Inst J. 2011;38(2):111-21."},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Verma A, Kilicaslin F, Marrouche NF, et al.  Prevalence, predictors, and mortality significance of the causative arrhythmia in patients with electrical storm.  J Cardiovasc Electrophysiol. 2004;15(11):1265-70.","DOI":"10.1046\/j.1540-8167.2004.04352.x"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Credner SC, Klingenheben T, Mauss O, et al. Electrical storm in patients with transvenous implantable cardioverter-defibrillators: incidence, management and prognostic implications. J Am Coll Cardiol. 1998;32(7):1909-15.","DOI":"10.1016\/s0735-1097(98)00495-1"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Villacastin J, Almendral J, Arenal A, et al. Incidence and clinical significance of multiple consecutive, appropriate, high-energy discharges in patients with implanted cardioverter-defibrillators. Circulation. 1996;93(4):753-62.","DOI":"10.1161\/01.cir.93.4.753"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Exner DV, Pinski SL, Wyse DG, et al.  Electrical storm presages nonsudden death; the antiarrhythmics versus implantable defibrillators (AVID) trial. Circulation. 2001;103(16):2066-71.","DOI":"10.1016\/s1062-1458(01)00411-1"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Burjorjee JE and Milne B.  Propofol for electrical storm; a case report of cardioversion and suppression of ventricular tachycardia by propofol.  Can J Anesth. 2002;49(9):973-7.","DOI":"10.1007\/bf03016886"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Saksena S, Ciccone JM, Craelius W, et al.  Studies on left ventricular function during sustained ventricular tachycardia.  J Am Coll Cardiol. 1984;4(3):501-8.","DOI":"10.1016\/s0735-1097(84)80093-5"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Nademanee K, Taylor R, Bailey WE, et al.  Treating electrical storm: sympathetic blockade versus advanced cardiac life support-guided therapy. Circulation. 2000;102(7):742-7.","DOI":"10.1161\/01.cir.102.7.742"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2020,3,9]],"date-time":"2020-03-09T18:18:43Z","timestamp":1583777923000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/04h384h4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,8]]},"references-count":10,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,7,30]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2019.5.43052","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"value":"2474-252X","type":"electronic"},{"value":"2474-252X","type":"print"}],"subject":[],"published":{"date-parts":[[2019,7,8]]}}}