American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: Editor-in-chief: Samy, I. McFarlane
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American Journal of Medical Case Reports. 2019, 7(9), 210-213
DOI: 10.12691/ajmcr-7-9-7
Open AccessCase Report

Profound Hypotension in Supraventricular Tachycardia with Intermittent Wolff-Parkinson-White Syndrome Refractory to Cardioversion

Dennis Miraglia1, and Orlando Marini2

1Department of Internal Medicine, Good Samaritan Hospital, Aguadilla, PR

2Division of Cardiovascular Disease, Department of Internal Medicine, Good Samaritan Hospital, Aguadilla, PR

Pub. Date: July 21, 2019

Cite this paper:
Dennis Miraglia and Orlando Marini. Profound Hypotension in Supraventricular Tachycardia with Intermittent Wolff-Parkinson-White Syndrome Refractory to Cardioversion. American Journal of Medical Case Reports. 2019; 7(9):210-213. doi: 10.12691/ajmcr-7-9-7


We report a case of an 87-year-old man with unstable supraventricular tachycardia (SVT) with intermittent Wolff-Parkinson-White (WPW) syndrome refractory to biphasic synchronized electrical cardioversion terminated by adding intravenous amiodarone. We conclude that the unique properties of intravenous amiodarone might make it especially effective in emergency situations when urgent intervention is needed to terminate life-threatening wide-complex tachycardias (WCTs) with evidence of hemodynamic instability refractory to synchronized electrical cardioversion.

supraventricular tachycardia (SVT) Wolff-Parkinson-White (WPW) syndrome amiodarone synchronized electrical cardioversion

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