Document Detail

Titrated energy cardioversion of patients on digitalis.
MedLine Citation:
PMID:  1225345     Owner:  NLM     Status:  MEDLINE    
Elective cardioversion with titrated energy was carried out under diazepam anaesthesia (38 procedures) in 26 patients on digitalis who presented with supraventricular or ventricular arrhythmias. Low energy shocks were given to establish the absence of latent digitalis intoxication, not unmasked by previous carotid sinus massage, and to restore sinus rhythm with the lowest possible energy discharge. In the absence of digitalis overdosage, titrated energy cardioversion restored sinus rhythm, at least temporarily, without dangerous ventricular arrhythmias. In one patient this precaution was neglected: a shock of 200 Ws provoked ventricular tachycardia. We present experimental and clinical evidence for the safety and effectiveness of titrated energy cardioversion in patients on digitalis.
F Hagemeijer; E Van Houwe
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British heart journal     Volume:  37     ISSN:  0007-0769     ISO Abbreviation:  Br Heart J     Publication Date:  1975 Dec 
Date Detail:
Created Date:  1976-06-10     Completed Date:  1976-06-10     Revised Date:  2010-09-07    
Medline Journal Info:
Nlm Unique ID:  0370634     Medline TA:  Br Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1303-7     Citation Subset:  AIM; IM    
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MeSH Terms
Anesthesia, General
Arrhythmias, Cardiac / drug therapy,  therapy*
Digitalis Glycosides / adverse effects,  therapeutic use*
Electric Countershock* / adverse effects,  methods
Heart Ventricles
Middle Aged
Potassium / blood
Tachycardia / etiology
Reg. No./Substance:
0/Digitalis Glycosides; 439-14-5/Diazepam; 7440-09-7/Potassium

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

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