Atropine-induced non-sustained polymorphic ventricular tachycardia: A rare case

Tekrarlayan çarpıntı ve presenkop şikayetleri ile 40 yaşında erkek hasta kardiyoloji kliniğine başvurdu. Hastanın öz geçmişinde herhangi bir özellik yoktu. Atriyoventriküler nod hastalığı veya taşiaritmi indüklemek için elektrofizyolojik çalışma yapıldı. Atropin 1.0 mg yapıldıktan sonra testin tekrarlanması planlandı. Bu esnada polimorfik ventriküler taşikardi gelişti. Overdrive pacing ile taşikardi sonlanmadı yaklaşık 2 dakika sonra spontan olarak sonlandı

Nadir bir olgu: Atropinin indüklediği sürekli olmayan polimorfik ventriküler taşikardi

A 40 years old male with history of unexplained recurrent presyncope and palpitation episodes referred to cardiology department. Patient had no past medical history. Subsequently, electrophysiology study was performed to detect any underlying atrioventricular nodal disease or inducible tachyarrhythmias. During this period, 1.0 mg of atropine was injected intravenously to performed stimulation and patient suddenly developed polymorphic ventricular tachycardia that could not be terminated with overdrive pacing. Ventricular tachycardia was terminated spontaneously, two minutes later. J Clin Exp Invest 2014; 5 (3): 449-451

___

  • Fei L, Statters DJ, Hnatkova K, et al. Change of auto- nomic influence on the heart immediately before the onset of spontaneous idiopathic ventricular tachycar- dia. J Am Coll Cardiol 1994;24:1515-1522.
  • Wu W, Lu Z. Loss anti-arrhytmic effect of vagal nerve stimulation on ischemia-induced ventricular tachyar- rhytmia in aged rats. Tohoku J Exp Med 2011:223;27- 33.
  • Massumi RA, Mason DT, Amsterdam EA, et al. Ven- tricular fibrillation and tachycardia after intravenous atropine for treatment of bradycardias. N Engl J Med 1972;287:336-338.
  • Goel VK, Mehrotra TN, Gupta SK. Ventricular tachyar- rhythmias: complication of atropine therapy in acute myocardial infarction. Indian Heart J 1981;33:301- 302.
  • La Rovere MT, Bigger JT Jr, Marcus FI, et al. Baroreflex sensitivity and heart-rate variability in prediction of to- tal cardiac mortality after myocardial infarction. ATRA- MI (Autonomic Tone and Reflaxes After Myocardial Infarction) Investigators. Lancet 1998;351:478-484.
  • Ando M, Katare RG, Kakinuma Y, et al. Efferent vagal nerve stimulation protects heart against ischemia-in- duced arrhytmias by preserving connextin43 protein. Circulation 2005:112;164-170.
  • Averill KH, Lamb LE. Less commonly recognized ac- tions of atropine on cardiac rhythm. Am J Med Sci 1959;237:304-318.
  • Coumel P, Rosengarten MD, Leclercq JF, Attuel P. Role of sympathetic nervous system in non-ischaemic ven- tricular arrhythmias. Br Heart J 1982;47:137-147.
  • Zipes DP, Knoebel SB. Rapid rate-dependent ventricu- lar ectopy: adverse response to atropine induced rate increase. Chest 1972;62:255-258.
  • Berkowitz WD, Young MW, Scherlage BJ, et al. Rate dependency of cardiac glycoside action on atrioven- tricular (AV) conduction and ventricular automaticity. Clin Res 1968;16:222.
Journal of Clinical and Experimental Investigations-Cover
  • Başlangıç: 2010
  • Yayıncı: Sağlık Araştırmaları Derneği
Sayıdaki Diğer Makaleler

Giant cell tumor of bone: current review of morphological, clinical, radiological, and therapeutic characteristics

Georgi P GEORGİEV, Svetoslav SLAVCHEV, Iva N DİMİTROVA, Boycho LANDZHOV

Evaluation of the analytical performance of Roche immunoturbidimetric immunoglobulin assays and comparing to Dade Behring immunonephelometer

Fatma Meriç YILMAZ, Cevdet ZÜNGÜN, Bağdagül ÇAKIR

The roles of urine interleukin-13, CD80, CD28, matrix metalloproteinase-2 and granzyme B in the pathogenesis of childhood minimal change nephrotic syndrome

Aslı KAVAZ, Burcu BULUM, Kaan GÜLLEROĞLU, Duygu Övünç HACIHAMDİOĞLU, Fatoş YALÇINKAYA, Esra BASKIN, Uğur MUŞABAK, Aysel PEKEL, Aslı KANTAR, Cihangir AKGÜN, Süleyman Tolga YAVUZ, Cengiz ZEYBEK, Faysal GÖK

Kardiyopulmoner egzersiz testleri

Erkan CEYLAN

Romatoid artrit olgularının hastalıkları konusundaki bilgi düzeylerinin değerlendirilmesi

Ali Yavuz KARAHAN, Kemal EROL, Savaş KARPUZ, Sinan BAĞÇACI, Ender SALBAŞ, Adem KÜÇÜK

A rare and dangerous infectious lesion: Hydatid disease of the cervical spine

Kevser ÖZDEMİR, Bayram ÇIRAK, Mustafa KORUCU, Muhammet İBRAHİMOĞLU, Mevci ÖZDEMİR, Cihan KAYA

Laparoskopik kolesistektomilerde 10 cm H2 O PEEP uygulamasının hemodinami, arteriyel oksijenizasyon ve akciğer mekaniklerine etkisi

Mehmet GAMLI, Oya KILCI, Beyazıt DİKMEN, Canan ÜN, Dilşen ÖRNEK, Fatma ÇİÇEK, Derya TÜRKASLAN

Femoral diyaliz kateteri takılması hayatı tehdit edici komplikasyona yol açabilir mi?

Nurkay KATRANCIOĞLU, Umut Serhat SANRI, Şevki Hakan EREN

Cytogenetic and clinical evaluation of two cases with 45,X/46,X,i(Xq) and 46,X,i(Xq) karyotype

Etem AKBAŞ, Hüseyin DURUKAN, Nazan Eras ERDOĞAN, Harika TOPAL, Faik GÜRKAN YAZICI

Kronik diyaliz tedavisi alan çocuklarda eritropoetin kullanımının ortalama trombosit hacmine etkisi

İpek Kaplan BULUT, Nida DİNÇEL, Ebru YILMAZ, Orhan Deniz KARA, Kadriye ÖZDEMİR, Sevgi MİR