Adenosine-induced worsening of supraventricular tachycardia

An approximately 20-year-old to 30-year-old patient presented with a haemodynamically stable supraventricular tachycardia . The patient was managed with intravenous adenosine primarily, with two bolus doses of 6 and 12 mg. This, however, caused a rare paradoxical surge of tachycardia with mild haemo...

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Bibliographic Details
Published in:BMJ Case Reports 2012, Vol.2012
Main Authors: Kunnumpuram, Georgey Koshy, Patel, Ashfaq
Format: Report
Language:English
Online Access:Get full text
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Summary:An approximately 20-year-old to 30-year-old patient presented with a haemodynamically stable supraventricular tachycardia . The patient was managed with intravenous adenosine primarily, with two bolus doses of 6 and 12 mg. This, however, caused a rare paradoxical surge of tachycardia with mild haemodynamic compromise. The patient further required a combination of Metoprolol and Verapamil administration to slow down and reverse the arrhythmia. Following this the patient remained stable with no further episodes till discharge.
ISSN:1757-790X
DOI:10.1136/bcr-2012-007821