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Intravenous Adenosine During Atrioventricular Reentrant Tachycardia: Induction of Atrial Fibrillation with Rapid Conduction Over an Accessory Pathway
Author(s) -
TEBBENJOHANNS JÜRGEN,
PFEIFFER DIETRICH,
SCHUMACHER BURGHARD,
JUNG WERNER,
MANZ MATTHIAS,
LUDERITZ BERNDT
Publication year - 1995
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1995.tb04673.x
Subject(s) - medicine , orthodromic , accessory pathway , cardiology , tachycardia , atrioventricular reentrant tachycardia , atrial fibrillation , sinus rhythm , adenosine , anesthesia , atrial tachycardia , catheter ablation , electrophysiology
Adenosine is considered to be a safe agent for termination of orthodromic atrioventricular reentrant tachycardia in patients with accessory pathways. A case with initially successful accessory pathway ablation and without preexcitation during sinus rhythm is presented, in which intravenous adenosine (6 mg) during orthodromic tachycardia was followed by atrial fibrillation and sudden onset of preexcitation with subsequent rapid ventricular response with moderate hemodynamic compromise.