Adenosine-induced worsening of supraventricular tachycardia. (10th December 2012)

• Record Type: Journal Article
• Authors: Kunnumpuram, Georgey Koshy; Patel, Ashfaq
• Is Part Of: BMJ case reports. Volume 2012
• Publication Date: 2012-12-10
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2012-007821
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : An approximately 20-year-old to 30-year-old patient presented with a haemodynamically stable supraventricular tachycardia . The patient was managed with intravenous adenosine primarily, with two bolus doses of 6 and 12 mg. This, however, caused a rare paradoxical surge of tachycardia with mild haemodynamic compromise. The patient further required a combination of Metoprolol and Verapamil administration to slow down and reverse the arrhythmia. Following this the patient remained stable with no further episodes till discharge.