Lidocaine-induced conduction disturbance in patients with systemic hyperkalemia.
作者信息
McLean S A, Paul I D, Spector P S
机构信息
Department of Emergency Medicine, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA.
出版信息
Ann Emerg Med. 2000 Dec;36(6):615-8. doi: 10.1067/mem.2000.111096.
PMID:11097702
Abstract
We report 2 cases in which lidocaine, given for wide-complex tachycardia in the presence of hyperkalemia, precipitated profound conduction disturbance and asystole. The electrophysiologic effects of hyperkalemia and its interaction with lidocaine are reviewed. In patients with known hyperkalemia and wide-complex tachycardia, treatment should be directed at hyperkalemia, rather than following treatment algorithms for wide-complex tachycardia.
摘要
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