Calming The Storm By Sympatholysis

An electrical storm is a fearful and life threatening experience for the patient while it is a therapeutic challenge of the extreme degree for the physician. In this issue of the Journal, Proietti and Sagone have presented an in depth discussion on the various aspects of the electrical storm including the current day management [1]. As rightly mentioned by them, the present definition of an electrical storm would be the occurrence of three or more episodes of ventricular tachycardia or ventricular fibrillation in 24 hours, requiring either anti-tachycardia pacing or a shock. This editorial note will focus on the management of a refractory electrical storm with sympatholytic measures, other than the conventional pharmacologic beta adrenergic blockade.