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Link MS. Evaluation and Initial Treatment of Supraventricular Tachycardia. N Engl J Med. 2012; 367: 1438-1448.

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Article

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

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

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


American Journal of Medical Case Reports. 2019, Vol. 7 No. 9, 210-213
DOI: 10.12691/ajmcr-7-9-7
Copyright © 2019 Science and Education Publishing

Cite this paper:
Dennis Miraglia, 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.

Correspondence to: Dennis  Miraglia, Department of Internal Medicine, Good Samaritan Hospital, Aguadilla, PR. Email: dennismiraglia@hotmail.com

Abstract

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.

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