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Sotalol: A rescue drug in the face of life-threatening refractory ventricular tachycardia.
Ann Card Anaesth ; 2014 Apr; 17(2): 170-172
Article Dans Anglais | IMSEAR | ID: sea-150323
ABSTRACT
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.
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Texte intégral: Disponible Indice: IMSEAR (Asie du Sud-Est) Sujet Principal: Sotalol / Défibrillation / Humains / Mâle / Tachycardie ventriculaire / Adulte / Implantation de valve prothétique cardiaque / Atrium du coeur / Valves cardiaques / Amiodarone langue: Anglais Texte intégral: Ann Card Anaesth Année: 2014 Type: Article

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Texte intégral: Disponible Indice: IMSEAR (Asie du Sud-Est) Sujet Principal: Sotalol / Défibrillation / Humains / Mâle / Tachycardie ventriculaire / Adulte / Implantation de valve prothétique cardiaque / Atrium du coeur / Valves cardiaques / Amiodarone langue: Anglais Texte intégral: Ann Card Anaesth Année: 2014 Type: Article