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...

Full description

Saved in:
Bibliographic Details
Published in:BMJ case reports 2012-12, Vol.2012, p.bcr2012007821
Main Authors: Kunnumpuram, Georgey Koshy, Patel, Ashfaq
Format: Article
Language:English
Subjects:
Adenosine - adverse effects
Adenosine - therapeutic use
Adult
Anti-Arrhythmia Agents - adverse effects
Anti-Arrhythmia Agents - therapeutic use
Cardiac arrhythmia
Disease Progression
Drug dosages
Electrocardiography
Female
Heart rate
Humans
Middle East
Sinuses
Tachycardia, Supraventricular - chemically induced
Tachycardia, Supraventricular - drug therapy
Unexpected Outcome (Positive or Negative) Including Adverse Drug Reactions
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
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
1757-790X
DOI:10.1136/bcr-2012-007821