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Adenosine Conversion of Supraventricular Tachycardia Associated with High-Dose Epinephrine Therapy for Cardiac Arrest

Published online by Cambridge University Press:  28 June 2012

Robert T. Gerhardt ,
Richard Furlong ,
Kathleen Schrank  and
Bradford D. Ress
Robert T. Gerhardt*
Affiliation:
The Emergency Medical Service, William Beaumont Army Medical Center, El Paso, Texas
Richard Furlong
Affiliation:
The Emergency Medicine Section, Department of Medicine, University of Miami School of Medicine, Miami, Florida
Kathleen Schrank
Affiliation:
The Emergency Medicine Section, Department of Medicine, University of Miami School of Medicine, Miami, Florida
Bradford D. Ress
Affiliation:
The Department of Otolaryngology, University of Miami School of Medicine, Miami, Florida
*
USA Attn: emergency medical services-DPCCM WBAMC 5005 North Piedras El Paso, Texas 79920 USA
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Abstract

Adenosine has received wide acceptance as the drug of choice for initial treatment of supraventricular tachycardias (supraventricular tachycardia), and as a diagnostic adjunct in hemodynamically stable, wide-complex tachycardias. This report describes the successful use of adenosine for the treatment of supraventricular tachycardia occurring after successful initial resuscitation from ventricular fibrillation, in which a high dose of the epinephrine protocol was used.

Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 14 , Issue 2 , June 1999 , pp. 65 - 67
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1999

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References

1. Subcommittee on Advanced Cardiac Life Support and Committee on Emergency Cardiac Care. Advanced Cardiac Life Support. 1994: American Heart Association.Google Scholar
2. Faulds, D, Chrisp, P, Buckley, MM: Adenosine. An evaluation of its use in cardiac diagnostic procedures, and in the treatment of paroxysmal supraventricular tachycardia. Drugs 1991;41(4):596–624.CrossRefGoogle ScholarPubMed
3. Rankin, AC, Oldroyd, KG, Chong, E et al. : Value and limitations of adenosine in the diagnosis and treatment of narrow and broad complex tachycardias. Br Heart J 1989;62:195–203.Google Scholar
4. Melio, FR, Mallon, WK, Newton, E: Successful conversion of unstable supraventricular tachycardia to sinus rhythm with adenosine. Ann Emerg Med 1993;22:709–713.CrossRefGoogle ScholarPubMed
5. Merson, N: Adenosine treatment of supraventricular tachycardia following epidural test dose: A case study. AANAs Journal 1993;61:521–523.Google Scholar
6. Goetting, MG, Paradis, NA: High dose epinephrine improves outcome from pediatric cardiac arrest. Ann Emerg Med 1991;20:22–26.CrossRefGoogle ScholarPubMed
7. Klein, GJ, Sharma, AD, Yee, R et al. : Classification of supraventricular tachycardias. Am J Cardiol 1987;60:27d.CrossRefGoogle ScholarPubMed
8. Brugada, P, Racchini, M, Wellens, H: Effects of isoproterenol and amiodarone and the role of exercise in the initiation of circus movement tachycardia in the accessory atrioventricular pathway. Am J Cardiol 1986;57:146–149.CrossRefGoogle ScholarPubMed
9. Brownstein, SL, Hopson, RC, Martins, JB et al. : Usefulness of isoproterenol in facilitating reentry tachycardia during electrophysiologic testing. Am J Cardiol 1988;61:1037–1041.Google Scholar
10. Euycke, EC, Lai, WT, Nguyen, NX et al. : Role of intravenous isoproterenol in the electrophysiologic induction of atrioventricular node re-entrant tachycardia in patients with dual atrioventricular node pathways. Am J Cardiol 1989;64:1131–1137.Google Scholar
11. Callaham, M, Barton, CW, Jayser, S: Potential complications of high dose epinephrine therapy in patients resuscitated from cardiac arrest. JAMA 1991;265:1117–1122.CrossRefGoogle ScholarPubMed
12. Faulds, D, Chrisp, P, Buckley, M: Adenosine. An evaluation of its use in cardiac diagnostic procedures, and in the treatment of paroxysmal supraventricular tachycardia. Drugs 1991;41:596–624.CrossRefGoogle ScholarPubMed
13. Jobe, RL, Gallagher, JJ: Use of adenosine during hypotension in the Wolff-Parkinson-White syndrome with supraventricular tachycardia. Am Heart J 1991;(4 ( Pt 1)):1239£1240.Google Scholar
14. DiMarco, JP, Miles, W, Akhtar, M et al. : Adenosine for paroxysmal supraventricular tachycardia: Dose ranging and comparison with verapamil. Assessment in placebo-controlled, multicenter trials. Ann Int Med 1990;113:104–110.Google Scholar
15. Cairns, CB, Niemann, JT: Intravenous adenosine in the emergency department management of paroxysmal supraventricular tachycardia. Ann Emerg Med 1991;20:717–721.Google Scholar