Document Detail


Multiple premature beats triggered ventricular arrhythmias during pilsicainide infusion in a patient with inferior ST-segment elevation.
MedLine Citation:
PMID:  17201857     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 17-year-old man was referred to our hospital for treatment of common paroxysmal atrial flutter. His electrocardiogram at rest showed subtle ST-segment elevation in leads II, III, and aV(F). Intravenous pilsicainide caused further ST-segment elevation in the inferior leads, new ST-segment depression in leads V2-V6, two distinct forms of premature ventricular complexes (PVCs) triggering short runs of polymorphic ventricular tachycardia (VT). An infusion of isoproterenol suppressed these arrhythmias and normalized the ST-segment. Pilsicainide may induce PVCs and polymorphic VT in atypical Brugada syndrome.
Authors:
Masaomi Chinushi; Daisuke Izumi; Hiroshi Furushima; Hiroshi Watanabe; Yoshifusa Aizawa
Related Documents :
12216927 - Unusual st-t changes in ebstein's anomaly with occlusion of a nondominant coronary artery.
19332467 - Abciximab in patients with acute st-segment-elevation myocardial infarction undergoing ...
1479647 - Nine-lead holter monitoring using a lead-switching technique for the detection of ische...
20598997 - Comparison of location of "culprit lesions" in left anterior descending coronary artery...
3948367 - Endocardial catheter mapping in patients in sinus rhythm: relationship to underlying he...
3117557 - The need for coronary artery surgery: expand or restrict? a european view.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  29     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2007-01-04     Completed Date:  2007-03-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1445-8     Citation Subset:  IM    
Affiliation:
School of Health Science, Niigata University School of Medicine, Niigata, Japan. masaomi@clg.niigata-u.ac.jp
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Anti-Arrhythmia Agents / adverse effects*
Atrial Flutter / complications,  drug therapy
Electrocardiography
Humans
Infusions, Intravenous
Lidocaine / administration & dosage,  adverse effects,  analogs & derivatives*
Male
Ventricular Fibrillation / chemically induced*,  diagnosis*
Ventricular Premature Complexes / chemically induced*,  diagnosis*
Chemical
Reg. No./Substance:
0/Anti-Arrhythmia Agents; 137-58-6/Lidocaine; 88069-49-2/pilsicainide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Cardiac magnetic resonance and cardiac magnetic field mapping in a patient with stress-induced cardi...
Next Document:  Successful use of a transvenous dual-chamber automatic implantable cardiac defibrillator after a cla...