The diving reflex used to treat paroxysmal atrial tachycardia.

Autor: Wildenthal K, Leshin SJ, Atkins JM, Skelton CL
Jazyk: angličtina
Zdroj: Lancet (London, England) [Lancet] 1975 Jan 04; Vol. 1 (7897), pp. 12-4.
DOI: 10.1016/s0140-6736(75)92374-0
Abstrakt: Induction of the diving reflex, by immersion of the face in cold water (2 degrees C) while the breath was held, converted paroxysmal atrial tachycardia to sinus rhythm within 15-35 seconds in seven patients (aged 22-66). Four had histories of heart attacks that had previously required vasopressor therapy, and two had been digitalised; three had no history of prior paroxysmal atrial tachycardia or heart-disease. The reported procedure, which is convenient, non-invasive, and can be self administered by the patient after brief instruction, may offer a useful adjunct to carotid-sinus massage and intravenous infusion of vasopressors for the treatment of paroxysmal atrial tachycardia.
Databáze: MEDLINE