Is the Advanced Cardiac Life Support Algorithm Always Correct? A Case of Catecholaminergic Polymorphic Ventricular Tachycardia

Authors

  • Nicole I Cillis Department of Internal Medicine, Atrium Health Wake Forest Baptist Medical Center, One Medical Center Blvd, Winston Salem, NC 27157
  • George M Bodziock Cardiovascular Medicine, Atrium Health Wake Forest Baptist Medical Center, One Medical Center Blvd, Winston Salem, NC 27157
  • Taylor S Ferris Department of Internal Medicine, Atrium Health Wake Forest Baptist Medical Center, One Medical Center Blvd, Winston Salem, NC 27157
  • Nikhil Patel Cardiovascular Medicine, Atrium Health Wake Forest Baptist Medical Center, One Medical Center Blvd, Winston Salem, NC 27157
  • Tejit V Pothuraju Department of Internal Medicine, Atrium Health Wake Forest Baptist Medical Center, One Medical Center Blvd, Winston Salem, NC 27157
  • Prashant D Bhave Cardiovascular Medicine, Atrium Health Wake Forest Baptist Medical Center, One Medical Center Blvd, Winston Salem, NC 27157

DOI:

https://doi.org/10.14738/bjhmr.113.16959

Keywords:

Catecholaminergic polymorphic ventricular tachycardia, ventricular arrhythmia, electrical storm, ACLS

Abstract

A 19-year-old male with catecholaminergic polymorphic ventricular tachycardia (CPVT) presented with outside-of-hospital cardiac arrest in electrical storm. Ventricular arrhythmias persisted while following the Advanced Cardiac Life Support (ACLS) algorithm using epinephrine boluses. Upon deviation from the ACLS algorithm and use of beta blockers, ventricular arrhythmias ceased and patient was successfully stabilized. Treatment of CPVT electrical storm is challenging due to limited guidelines.  Antiarrhythmic agents such as beta blockers and flecainide are among the primary treatment options. This case report highlights a unique example of how deviation from traditional ACLS may be necessary to best treat CPVT storm.

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Published

2024-05-16

How to Cite

Cillis, N. I., Bodziock, G. M., Ferris, T. S., Patel, N., Pothuraju, T. V., & Bhave, P. D. (2024). Is the Advanced Cardiac Life Support Algorithm Always Correct? A Case of Catecholaminergic Polymorphic Ventricular Tachycardia . British Journal of Healthcare and Medical Research, 11(3), 73–78. https://doi.org/10.14738/bjhmr.113.16959

Issue

Vol. 11 No. 3 (2024): British Journal of Healthcare and Medical Research

Section

Original Articles

License

Copyright (c) 2024 Nicole I Cillis, George M Bodziock, Taylor S Ferris, Nikhil Patel, Tejit V Pothuraju, Prashant D Bhave

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.