Nonsustained Polymorphous Ventricular Tachycardia During Amiodarone Therapy for Atrial Fibrillation Complicating Cardiomyopathy
Autor: | Jay H. Curwin, R. Gregory Sachs, Stephen L. Winters |
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Rok vydání: | 1997 |
Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Heart disease business.industry medicine.medical_treatment Cardiomyopathy Atrial fibrillation Antiarrhythmic agent Critical Care and Intensive Care Medicine Amiodarone medicine.disease Ventricular tachycardia Bolus (medicine) Internal medicine Anesthesia cardiovascular system medicine Cardiology cardiovascular diseases Cardiology and Cardiovascular Medicine business Idiopathic Cardiomyopathy medicine.drug |
Zdroj: | Chest. 111:1454-1457 |
ISSN: | 0012-3692 |
DOI: | 10.1378/chest.111.5.1454 |
Popis: | A case is presented in which amiodarone was administered to suppress paroxysmal atrial fibrillation in a patient with an idiopathic cardiomyopathy. Eleven days after initiation of therapy with amiodarone, the patient experienced syncope and was noted to have recurrent episodes of polymorphous ventricular tachycardia. The patient was hospitalized and treated with a bolus as well as continuous infusion of intravenous magnesium sulfate. When the infusion was transiently discontinued, recurrences of polymorphous ventricular tachycardia were noted. The probable proarrhythmic action of amiodarone, although rare, is reviewed along with a discussion of the novel use of intravenous magnesium sulfate therapy. |
Databáze: | OpenAIRE |
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