Gómez-Barrado J J, García-Rubira J C, Turégano Albarrán S, Pavón García M, Hidalgo Urbano R, Montes Ramírez J M, Cruz Fernández J M
Unidad de Cardiología, Complejo Hospitalario Llerena-Zafra, Badajoz.
Rev Esp Cardiol. 1997 Sep;50(9):662-6.
Antiarrhythmic drugs administered intravenously run the risk of producing a hemodynamic collapse even when used by expert and well trained hands. The arrhythmias in the focal point of a preexcitation syndrome constitute a very special situation in which extreme caution must be used when using intravenous drugs, because the conduction through accessory channels can vary, depending on multiple factors. We describe a case of a patient with an accessory atrioventricular pathway and orthodromic tachycardia who developed cardiac arrest by wide QRS tachycardia after receiving intravenous amiodarone.
静脉注射抗心律失常药物即使由经验丰富且训练有素的人员使用，也有导致血流动力学崩溃的风险。预激综合征病灶处的心律失常构成一种非常特殊的情况，在使用静脉药物时必须格外谨慎，因为通过旁路的传导可能因多种因素而有所不同。我们描述了一例患有房室旁路和正向性心动过速的患者，在接受静脉注射胺碘酮后因宽QRS心动过速发生心脏骤停。
