Arrhythmic Storm and ICDs
For the ICD folks who have experienced arrhythmic storm(s) (i.e. multiple episodes of VT or VF over a short period of time 24hrs):
What drugs/actions made it better? What drugs/actions made it worse? What is your current diagnosis? What do you do when you feel an episode might be coming on?
1.Isoproterenol and overdrive pacing at 90bpm make it better.
2. Amiodarone and Lidocaine don't work. Beta blockers (propranolol and IV esmolol) make it much much worse.
3. Idiopathic VF, short-coupled VF.
4. Take 0.5mg Xanax, lay down, try to focus on breathing.
p.s. This paper has a great table showing the management of electric storms based on the underlying condition.