Document Detail

Sotalol: A rescue drug in the face of life-threatening refractory ventricular tachycardia.
MedLine Citation:
PMID:  24732625     Owner:  NLM     Status:  In-Data-Review    
We describe postoperative refractory ventricular tachycardia (VT) in a patient following aortic and mitral valve replacement. Following an uneventful separation from cardiopulmonary bypass with dobutamine, the patient developed recurrent VT, 4 hours into the postoperative period. The VT did not respond to standard doses of xylocard, magnesium and amiodarone. Electrolyte and acid base parameters were normal. Multiple cardioversions failed to revert back to a stable rhythm. Intra-aortic balloon pumping was instituted and overdrive right ventricular pacing was unsuccessful. Following intravenous sotalol 80 mg, the VT came under control and reverted to a nodal rhythm, which required atrial pacing for the next 8 hours. Oral sotalol therapy was continued at 40 mg daily. The VT did not recur.
Ashok Kandasamy; Sukumar Arumugham; Harshavardhan Krupanandha; Bhaktavatsala Reddy
Related Documents :
20060185 - Angiotensin converting enzyme 2 gene expression increased compensatory for left ventric...
20444725 - Influence of pacing configurations, body mass index, and position of coronary sinus lea...
20884845 - Familial aggregation of left ventricular geometry and association with parental heart f...
10190395 - Fractal analysis of heart rate dynamics as a predictor of mortality in patients with de...
23264165 - Sdc1 overexpression inhibits the p38 mapk pathway and lessens fibrotic ventricular remo...
18308025 - Prognostic value of the shock index along with transthoracic echocardiography in risk s...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of cardiac anaesthesia     Volume:  17     ISSN:  0974-5181     ISO Abbreviation:  Ann Card Anaesth     Publication Date:    2014 Apr-Jun
Date Detail:
Created Date:  2014-04-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9815987     Medline TA:  Ann Card Anaesth     Country:  India    
Other Details:
Languages:  eng     Pagination:  170-2     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Use of nitric oxide in thoracic surgery for a high risk cardiac patient.
Next Document:  Plasma Vitamin D and Prostate Cancer Risk; Results from the Selenium and Vitamin E Cancer Prevention...