Advertisement
Journal Home
Search for

Volume 18, Issue 4, Pages 453-456 (July 2000)


View previous. 20 of 41 View next.

Wide QRS tachycardia refractory to pharmacologic interventions and cardioversion☆☆★★

Emmanouil S. Brilakis, MD*, Wolfe E. Martin, MD, Harilaos S. Brilakis, MD, Paul A. Friedman, MD§

Received 14 July 1999; received in revised form 19 September 1999; accepted 20 September 1999.

Abstract 

The case of a 43-year-old man with an idiopathic wide QRS tachycardia resistant to adenosine, lidocaine, procainamide, and multiple electric shocks is described. The tachycardia eventually stopped after a pacing wire was introduced in the right ventricle, inducing a run of rapid ventricular tachycardia. The possible causes of resistance to medications and cardioversion, and alternative treatment modalities are reviewed. (Am J Emerg Med 2000;18:453-456. Copyright © 2000 by W.B. Saunders Company)

* Departments of Internal Medicine

 Emergency Services

 Department of Internal Medicine, Rush Presbyterian Saint Luke Medical Center, Chicago, IL

§ Division of Cardiovascular Diseases, Mayo Clinic and Mayo Foundation, Rochester, MN

 Returned August 17, 1999.

☆☆ Address reprint requests to Paul A. Friedman, MD, Department of Internal Medicine, Division of Cardiovascular Diseases, Mayo Clinic and Mayo Foundation, 200 First Street SW, Rochester, MN 55905. Email: pfriedman@mayo.edu

 Am J Emerg Med 2000;18:453-456.

★★ 0735-6757/00/1804-0020$10.00/0

PII: S0735-6757(00)93312-6


View previous. 20 of 41 View next.

Advertisement