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European Heart Journal 1994 15(2):281-282;
Copyright © 1994 by the European Society of Cardiology.
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© 1994 The European Society of Cardiology

Adenosine-induced non-sustained polymorphic ventricular tachycardia

M. ROMER and R. CANDINAS

Division of Cardiology, Department of internal Medicine University Hospital, CH-8091 Zürich, Switzerland

Received 23 June 1993; .

Coresspondence: Markus Romer, MD, Division of Cardiology, Department of Internal Medicine, Univeralty Hospital, Rämistrasse 100, CH-8091 Zürich, Switzerland

Abstract

Adenosine has become widely used because of its diagnostic and therapeutic value in the emergency management of arrhythimias. it produces transient heart block by slowing conduction through tile AV node and thus terminates supraventricular tachycardias that involve the atrioventricular node. Bradyarrhythmias of short duration are common side effects of the use of this drug. Premature atrial and ventricular beats have also been reported. The very short half-life and lack of serious adverse effects generally lead to the consideration that adenosine is a safe drug. We describe a 56-year-old woman with a supra ventricular tachycardia. To terminate this rhythm disorder intravenous adenosine was given. Interruption of tile supra ventricular tachycardia was followed by non-sustained polymorphic ventricular tachycardia.

Key Words: Adenosine • proarrhythmia • polymorphic • non-sustained ventricular tachycardia


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