Adenosine induced atrial fibrillation precipitating polymorphic ventricular tachycardia

Ilya V. Kaplan; Alexander V. Kaplan; John D. Fisher

doi:10.1111/j.1540-8159.2000.tb00662.x

Adenosine induced atrial fibrillation precipitating polymorphic ventricular tachycardia

Ilya V. Kaplan, Alexander V. Kaplan, John D. Fisher

Medicine

Research output: Contribution to journal › Article › peer-review

18 Scopus citations

Abstract

An 86-year-old female developed supraventricular tachycardia 36 hours after a myocardial infarction (MI). She developed atrial fibrillation and polymorphic ventricular tachycardia (PVT) following administration of 12 mg of adenosine. The PVT caused hemodynamic instability with no response to cardioversion, but termination with procainamide. The heart is vulnerable to hemodynamically unstable, possibly lethal, PVT early after MI under some circumstances. This vulnerability may be exposed following administration of adenosine. Extra caution is warranted when using adenosine in the post-MI period.

Original language	English (US)
Pages (from-to)	140-141
Number of pages	2
Journal	PACE - Pacing and Clinical Electrophysiology
Volume	23
Issue number	1
DOIs	https://doi.org/10.1111/j.1540-8159.2000.tb00662.x
State	Published - Jan 1 2000

Keywords

Adenosine
Myocardial infarction
Ventricular tachycardia

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1111/j.1540-8159.2000.tb00662.x

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AU - Fisher, John D.

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N2 - An 86-year-old female developed supraventricular tachycardia 36 hours after a myocardial infarction (MI). She developed atrial fibrillation and polymorphic ventricular tachycardia (PVT) following administration of 12 mg of adenosine. The PVT caused hemodynamic instability with no response to cardioversion, but termination with procainamide. The heart is vulnerable to hemodynamically unstable, possibly lethal, PVT early after MI under some circumstances. This vulnerability may be exposed following administration of adenosine. Extra caution is warranted when using adenosine in the post-MI period.

AB - An 86-year-old female developed supraventricular tachycardia 36 hours after a myocardial infarction (MI). She developed atrial fibrillation and polymorphic ventricular tachycardia (PVT) following administration of 12 mg of adenosine. The PVT caused hemodynamic instability with no response to cardioversion, but termination with procainamide. The heart is vulnerable to hemodynamically unstable, possibly lethal, PVT early after MI under some circumstances. This vulnerability may be exposed following administration of adenosine. Extra caution is warranted when using adenosine in the post-MI period.

KW - Adenosine

KW - Myocardial infarction

KW - Ventricular tachycardia

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Adenosine induced atrial fibrillation precipitating polymorphic ventricular tachycardia

Abstract

Keywords

ASJC Scopus subject areas

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