When a little flutter gets a bit too exciting….
Acute medicine
Supraventricular tachycardia
Wolf-Parkinson white syndrome
Journal
Clinical medicine (London, England)
ISSN: 1473-4893
Titre abrégé: Clin Med (Lond)
Pays: England
ID NLM: 101092853
Informations de publication
Date de publication:
Jan 2024
Jan 2024
Historique:
received:
07
09
2023
revised:
07
12
2023
accepted:
12
01
2024
medline:
4
3
2024
pubmed:
15
2
2024
entrez:
14
2
2024
Statut:
ppublish
Résumé
A middle-aged man with no previous cardiac history was admitted to the hospital being treated for thigh cellulitis, during his stay he developed palpitations and tachycardia which on initial ECG showed atrial flutter with a 2:1 AV block and evidence of an accessory pathway. He was subsequently given AV nodal blocking agents in the form of beta-blockers (bisoprolol) to slow his heart rate down; unfortunately, this led to hemodynamic instability due to 1:1 conduction of the atrial flutter down the accessory pathway. This case report demonstrates the importance of recognising pre-excitation on an ECG and the potential adverse effect of administering AV nodal blockade.
Identifiants
pubmed: 38354620
pii: S1470-2118(23)00008-8
doi: 10.1016/j.clinme.2023.100008
pmc: PMC11024822
pii:
doi:
Substances chimiques
Bisoprolol
Y41JS2NL6U
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
100008Informations de copyright
Copyright © 2023. Published by Elsevier Ltd.
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