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[联合静脉用药治疗预激综合征正向型环形心动过速后发生循环骤停]

[Circulatory arrest after combined intravenous drugs for the treatment of orthodromic circular tachycardia of Wolff-Parkinson-White syndrome].

作者信息

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

机构信息

Unidad de Cardiología, Complejo Hospitalario Llerena-Zafra, Badajoz.

出版信息

Rev Esp Cardiol. 1997 Sep;50(9):662-6.

PMID:9380937
Abstract

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.

摘要

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。

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