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    
Abstract/OtherAbstract:
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.
Authors:
Ashok Kandasamy; Sukumar Arumugham; Harshavardhan Krupanandha; Bhaktavatsala Reddy
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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    
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