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Updated: Sep 20, 2026

Sterile Pericarditis in Aachener Minipigs As a Model for Atrial Myopathy and Atrial Fibrillation
Published on: September 24, 2021
Enlarged effects of adenosine in a septic patient with multiple myeloma and atrial flutter
Stefan Dierkes1, Marcus G Hennersdorf, Christian Perings
1Department of Cardiology, Pneumology and Angiology, Medical Clinic and Policlinic B, Heinrich Heine University, Duesseldorf, Germany. stefan.dierkes@gmx.de
Abstract:
We report the history of a 60-year-old patient with a multiple myeloma and Staphylococcus aureus associated sepsis to whom adenosine in a dose of 6 mg was administered, when a regular, narrow QRS complex tachycardia at a heart rate of 120 beats/minute started. Adenosine led to a complete AV-block and revealed atrial flutter. Atrial flutter waves persisted for about 15 seconds and were followed by atrial and ventricular asystole for about 20 seconds. Repeated nonsustained polymorphic ventricular tachycardias followed and after about 90 seconds sinus rhythm was restored.
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