303. CCC: Management of Ventricular Tachycardia and Electrical Storm in the CICU with Dr. Janice Chyou

The Cardionerds Critical Care Series presents a case of Mr. JB, a 55-year-old man with a history of type 1 diabetes, ischemic cardiomyopathy, and prior VF arrest, who presents with recurrent ventricular tachycardia (VT) and electrical storm. Dr. Chyou provides expert guidance on managing the patient, emphasizing the importance of identifying the substrate and triggers for the arrhythmia. The discussion covers initial steps such as ICD interrogation, electrolyte optimization, and antiarrhythmic medications, as well as advanced strategies like catheter ablation, mechanical support, and autonomic modulation. The podcast further explores patient selection for VT ablation, associated risks, and newer therapies like stereotactic radio ablation, highlighting the multidisciplinary approach required to manage such complex cases. Ultimately, the patient receives a heart transplant after a series of interventions.