Curative Effect of Combined Esmolol and Amiodarone on Ventricular Electrical Storm in Patients with Acute Coronary Syndrome

Objective:To observe the curative effect of combined esmolol and amiodarone on ventricular electrical storm in the patients with acute coronary syndrome(ACS).Methods:Forty-five cases of ventricular electrical storm in the patients with ACS were randomly divided into two groups as amiodarone group(n=30)and esmolol plus amiodarone group(n=25).The success rate of electroversion and adverse reactions were recorded,systolic blood pressure(SBP),heart rate(HR),and QTd were measured and compared between the two groups.Results:The success rate of terminating VT and VF was significantly higher in combined group than in amiodarone group(92%vs.65%,P0.05).The HR and the QTd in combined group were lower than those in amiodarone group(P0.05).Conclusion:The intravenous injection of combined esmolol and amiodarone is a safe and effective treatment strategy for treating ventricular electrical storm in the patients with ACS.