Atrial Fibrillation with Ventricular Pre-excitation after Intravenous Adenosine as a Treatment of Supraventricular Tachycardia.
10.4070/kcj.2003.33.10.933
- Author:
Jae Kwang SHIM
1
;
Dong Il LEE
Author Information
1. Division of Cardiology, Wallace Memorial Baptist Hospital, Busan, Korea. doctorsim@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Adenosine;
Atrial fibrillation;
WPW syndrome
- MeSH:
Adenosine*;
Administration, Intravenous;
Atrial Fibrillation*;
Hemodynamics;
Humans;
Tachycardia;
Tachycardia, Supraventricular*;
Wolff-Parkinson-White Syndrome
- From:Korean Circulation Journal
2003;33(10):933-935
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Adenosine is well known as a safe and effective drug for the termination of paroxysmal supraventricular tachycardia (PSVT), and is also widely used for the termination of both narrow and wide QRS-complex tachycardia of unknown origin in the setting of hemodynamic stability. However, due to a shortening of atrial refractoriness, adenosine can facilitate the induction of atrial fibrillation. A life threatening tachycardia may result from a potential rapid conduction of the atrial fibrillation over an accessory pathway. A case of patient, where the intravenous administration of adenosine, during regular, narrow QRS tachycardia, was followed by atrial fibrillation with rapid conduction over a manifest accessory pathway, is reported.
