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Potential danger of ocular compression in paroxysmal supraventricular tachycardia in patients with latent preexcitation
- Source :
- Journal of Electrocardiology. 42:645-647
- Publication Year :
- 2009
- Publisher :
- Elsevier BV, 2009.
-
Abstract
- The vagal maneuver is the first line of therapeutic available for patients with paroxysmal supraventricular tachycardia. It increases vagal tone and includes the traditional ocular compression, carotid sinus massage, and Valsalva maneuver. A 40-year-old man was admitted because of 180 beats/min regular narrow QRS-complex tachycardia. The physician in the emergency department had performed an ocular compression, and at its ending, the tachycardia degenerated into unstable hemodynamically high ventricular rate atrial fibrillation. It was reverted to sinus rhythm by electrical shock. The electrophysiologic study documented a latent posterolateral bypass tract, with an anterograde refractory period of 210 milliseconds, which was successfully ablated.
- Subjects :
- Adult
Male
Vagal maneuver
Tachycardia
medicine.medical_specialty
Pre-Excitation Syndromes
Valsalva Maneuver
Refractory period
medicine.medical_treatment
Electrocardiography
Internal medicine
Atrial Fibrillation
Tachycardia, Supraventricular
medicine
Valsalva maneuver
Humans
Sinus rhythm
cardiovascular diseases
Vagal tone
business.industry
Carotid sinus
Atrial fibrillation
medicine.disease
medicine.anatomical_structure
Anesthesia
cardiovascular system
Cardiology
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 00220736
- Volume :
- 42
- Database :
- OpenAIRE
- Journal :
- Journal of Electrocardiology
- Accession number :
- edsair.doi.dedup.....eddb3b57807c88b2baef16394dc1b2cc