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Pindolol (Viscén) in persistent ventricular fibrillation. A case report
Acta Anaesthesiologica Scandinavica
|January 1, 1976
Summary
Pindolol, a beta-blocking agent, proved beneficial in a challenging heart resuscitation case. It helped achieve a permanent sinus rhythm when defibrillation and lidocaine therapy were insufficient.
Area of Science:
- Cardiology
- Pharmacology
Background:
- Post-operative cardiac arrhythmias pose a significant risk.
- Ventricular tachycardia and fibrillation are life-threatening arrhythmias requiring immediate intervention.
Observation:
- A 65-year-old female patient developed refractory ventricular tachycardia and fibrillation after complex abdominal aortic aneurysm surgery.
- Standard resuscitation efforts including 20-25 DC-shocks and 1100 mg lidocaine over 50 minutes were initially ineffective.
Findings:
- Intravenous administration of pindolol (0.2 mg twice) was successful in converting the persistent arrhythmia.
- Pindolol, as an adjunct to defibrillation and lidocaine, restored a permanent sinus rhythm.
Implications:
- Pindolol may be a valuable therapeutic option for refractory cardiac arrhythmias during resuscitation.
- This case highlights the potential role of beta-blockers in managing complex post-operative cardiac emergencies.