Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-23T23:07:16.094Z Has data issue: false hasContentIssue false
  • English
  • Français

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
Get access Rights & Permissions [Opens in a new window]

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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