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Related Experiment Videos

Haemodynamic deterioration after treatment with adenosine

R P Cowell1, V E Paul, C D Ilsley

  • 1Cardiology Department, Harefield Hospital, Middlesex.

British Heart Journal
|June 1, 1994
PubMed
Summary

A young woman experienced rapid heart rate (tachycardia) that worsened after adenosine treatment, leading to atrial fibrillation and hemodynamic instability requiring electrical cardioversion.

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Area of Science:

  • Cardiology
  • Electrophysiology

Background:

  • Supraventricular tachycardia is a common arrhythmia.
  • Adenosine is a first-line treatment for narrow complex tachycardia.

Observation:

  • A 26-year-old woman presented with narrow complex tachycardia at 210 beats/min.
  • Adenosine administration resulted in conversion to atrial fibrillation at 280 beats/min.

Findings:

  • The patient experienced hemodynamic deterioration following adenosine administration.
  • Electrical cardioversion was required due to instability.

Implications:

  • This case highlights a potential adverse reaction to adenosine in certain tachyarrhythmias.
  • Careful monitoring is crucial after adenosine administration for narrow complex tachycardia.

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