• J Emerg Med · Apr 2017

    Case Reports

    A Perfect Storm: Tyrosine Kinase Inhibitor-Associated Polymorphic Ventricular Tachycardia.

    • Alexander Beyer, Beejal Ganti, Allen Majkrzak, and Nik Theyyunni.
    • Emergency Medicine, University of Michigan, Ann Arbor, Michigan.
    • J Emerg Med. 2017 Apr 1; 52 (4): e123-e127.

    BackgroundOral tyrosine kinase inhibitors (TKIs) are becoming increasingly common in oncology practice due to ease of administration and patient preference. This class of medications is relatively unknown to emergency physicians.Case ReportHere we present a case of electrical storm (ES) thought to be associated with ibrutinib, a TKI. The ES was unabated despite antidysrhythmic therapy and electrical cardioversion, and was treated with supportive care, which eventually included the use of extracorporeal membrane oxygenation. This patient had no risk factors or apparent causes of recurrent ventricular tachycardia. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: ES has not previously been described with ibrutinib, but may be associated with off-target effects of the drug.Copyright © 2016 Elsevier Inc. All rights reserved.

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