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Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
[Simultaneous incidence of chronic dissecans aortic aneurysm and bidirectional tachydardia]
Insights
In severe cardiac insufficiency, bidirectional tachycardia may occur during digitalis therapy. This arrhythmia can be managed by continuing K-strophantoside treatment with antiarrhythmic drugs like procainamide and magnesium/calcium asparaginate.
Area of Science:
- Cardiology
- Pharmacology
Background:
- Severe cardiac insufficiency can complicate digitalis therapy.
- Digitalis glycosides, like K-strophantoside, are used for heart failure but carry arrhythmogenic risks.
Abstract:
In a 68-year-old patient during a therapy with digitalis and saluretics with maintenance doses a severe cardiac insufficiency develops. After intravenous injection of K-strophantoside temporarily a bidirectional tachycardia developed which enforced a discontinuation of the K-strophantoside therapy. A deterioration of the cardiac insufficiency caused the resumption of the strophantine treatment under the protection of novocamide (procainamide) and panangine (magnesium asparagin. anhydr. and calcium asparagin. anhydr.) without reappearance of a bidirectional tachycardia. The patient died of a severe cardiovascular insufficiency. If the bidirectional tachycardia appears in severe cardiac insufficiency a continuation of the treatment with K-strophantoside can be tried under the protection of antiarrhythmic drugs.
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