1. Termination of idiopathic sustained monomorphic ventricular tachycardia by intravenous adenosine in a pregnant woman.
- Author
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Hasdemir C, Musayev O, Alkan MB, Can LH, and Kultursay H
- Subjects
- Anti-Arrhythmia Agents administration & dosage, Female, Humans, Injections, Intravenous, Pregnancy, Tachycardia, Ventricular complications, Treatment Outcome, Ventricular Outflow Obstruction complications, Adenosine administration & dosage, Electrocardiography drug effects, Tachycardia, Ventricular diagnosis, Tachycardia, Ventricular prevention & control, Ventricular Outflow Obstruction diagnosis, Ventricular Outflow Obstruction prevention & control
- Abstract
A 34-year-old pregnant woman presented to the emergency department with the complaints of palpitations at 32 weeks gestation. The diagnosis of right ventricular outflow tract ventricular tachycardia (VT) was made. Intravenous 5 mg of metoprolol and 25 mg of diltiazem did not terminate the VT. Ten milligrams of adenosine were administered. Within 10 s of adenosine administration, sustained VT converted to repetitive monomorphic VT and within 30 s to normal sinus rhythm. The mother and the foetus tolerated the medications well. Non-stress test for the assessment of the foetal well-being was normal.
- Published
- 2009
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