严重的三支冠状动脉疾病在冠心病中较为常见，可引起慢性心力衰竭和室性心律失常。当急性心肌梗死（AMI）伴有室性电风暴（VES）时，治疗变得相当困难。本文作者报道1例AMI严重三支病变合并VES的病例，并结合文献进行讨论，可为VES临床诊疗提供一定的经验借鉴。

[1] 陶宁亚,张贝,任阳光,等.急性心肌梗死检测方法的研究进展[J].东南大学学报(医学版),2018,37(6):1085-1088.
[2] 乔积民,范羽飞.1例急性下壁心梗合并心室电风暴发作患者的急救与护理[J].实用临床医药杂志,2018,22(20):143-145.
[3] GADULA-GACEK E,TAJSTRA M,GASIOR M.Electrical storm-still an extremely poor prognosis. Do these acute states of life-threatening arrhythmias require a multidirectional approach from the start?[J].Postepy Kardiol Interwencyjnej,2019,15(1):1-12.
[4] HENDRIKS A A,SZILI-TOROK T.Editor's choice-the treatment of electrical storm:an educational review[J].Eur Heart J,2017,7(5):478-483.
[5] AL-KHATIB S M,STEVENSON W G,ACKERMAN M J,et al.2017 AHA/ACC/HRS guideline for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death:Executive summary:a Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society[J].Heart Rhythm,2018,15(10):e190-e252.
[6] 唐民.8例急性心肌梗死后心室电风暴临床观察[J].实用心电学杂志, 2015,24(1):54-57.
[7] 赵世才.急性心肌梗死早期低钾血症的相关因素分析及针对性补钾治疗的临床效果[J].中国当代医药,2020,27(23):65-67.
[8] 赵红.冠心病急性心肌梗死并发交感风暴临床分析[J].中西医结合心脑血管病杂志,2011,9(8):1014-1015.
[9] SALEIRO C V C V,RIBEIRO J M D S,TEIXEIRA R P C,et al.Electrical storm after percutaneous coronary intervention:Ischemia, reperfusion injury, or channelopathy?[J].J Arrhythm,2020,36(4):811-812.
[10] KOBAYASHI Y,TANNO K,UENO A,et al.In-hospital electrical storm in acute myocardial infarction-clinical background and mechanism of the electrical instability[J].Circ J,2018,83(1):91-100.
[11] 于海波,王祖禄.电风暴诊断及治疗进展[J].中国实用内科杂志,2015,35(7):634-637.
[12] 李赐恩,宋卫锋,邱春光.急性冠状动脉综合征合并交感电风暴诊断与治疗进展[J].中华实用诊断与治疗杂志,2017,31(8):812-814.
[13] 何益平,郭航远,彭放,等.胺碘酮联合盐酸艾司洛尔救治心室电风暴的临床分析[J].岭南心血管病杂志,2014,20(1):71-73.