Wide QRS tachycardia refractory to pharmacologic interventions and cardioversion

Authors
Brilakis, ES Martin, WE Brilakis, HS Friedman, PA
Citation
Es. Brilakis et al., Wide QRS tachycardia refractory to pharmacologic interventions and cardioversion, AM J EMER M, 18(4), 2000, pp. 453-456
Citations number
19
Categorie Soggetti
Aneshtesia & Intensive Care
Journal title
AMERICAN JOURNAL OF EMERGENCY MEDICINE
ISSN journal
07356757 → ACNP
Volume
18
Issue
4
Year of publication
2000
Pages
453 - 456
Database
ISI
SICI code
0735-6757(200007)18:4<453:WQTRTP>2.0.ZU;2-2
Abstract
The case of a 43-year-old man with an idiopathic wide ORS tachycardia resis tant to adenosine, lidocaine, procainamide, and multiple electric shocks is described. The tachycardia eventually stopped after a pacing wire was intr oduced in the right ventricle, inducing a run of rapid ventricular tachycar dia. The possible causes of resistance to medications and cardioversion, an d alternative treatment modalities are reviewed.