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oa Adenosine-induced ventricular fibrillation in a patient with supraventricular tachycardia
- Source: Qatar Medical Journal, Volume 2021, Issue 3, ديسمبر ٢٠٢١, 52
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- ١١ يونيو ٢٠٢١
- ٠٨ أغسطس ٢٠٢١
- ١٤ أكتوبر ٢٠٢١
ملخص
Adenosine is frequently used for paroxysmal supraventricular tachycardia (PSVT) treatment in the emergency department (ED). Atrial and ventricular pro-arrhythmic effects of adenosine were described in the literature, but ventricular fibrillation (VF) secondary to adenosine administration was rarely reported (with an incidence of < 1%). Reported herein is the first case of a 72-year-old female patient who developed VF hemodynamic collapse after an intravenous administration of adenosine for PSVT treatment. She had no known pre-excitation or accessory pathway, nor any underlying structural heart disease or prolonged QT syndrome. Raising awareness of this potential life-threatening pro-arrhythmic effect of adenosine is important, given its frequent use for PSVT treatment in the ED.