Paradoxical heart rate response after atropine sulfate administration in total atrioventricular block complicating acute myocardial infarction: A case report

نویسندگان

چکیده

Acute myocardial infarction is sometimes complicated by atrioventricular block. Advanced cardiac life support guideline for the treatment of block suggests early use atropine. Atropine works as a parasympatholytic drug that enhances SA node automaticity and AV conduction. We report case male patient with inferior total who showed marked reduction in heart rate after first second atropine administration, paradoxical worsening has been associated some adverse consequences, including proarrhythmic effect, high-grade block, ischemic situation. In this caused acute infarction, immediate revascularization can be only required management. Awareness potential reaction will help clinician make risk/benefit ratio consideration regarding certain patients.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Heart block complicating acute inferior wall myocardial infarction.

Heart block was noted in 60 (35 complete and 25 second-degree) of 410 patients with acute inferior wall myocardial infarction. This group with heart block was compared to a control group of 30 patients with acute inferior wall infarction without heart block. The incidences of prior myocardial infarction and hypertension, in addition to the highest level of serum creatine phosphokinase and a max...

متن کامل

Double heart rupture after acute myocardial infarction: a case report.

INTRODUCTION Double heart rupture is a rare complication of acute myocardial infarction with high mortality. CASE REPORT We presented a 67-year-old female patient with symptoms and signs of myocardial infarction, diagnosed with echocardiography, rupture of the septum, the presence of a thrombus and a small pericardial effusion. Soon after admission the patient died. Autopsy revealed tamponade...

متن کامل

Acute Myocardial Infarction Complicating Active Ulcerative Colitis: A Case Report

Ulcerative colitis (UC) is a chronic inflammatory disease that predominantly affects the gastrointestinal (GI) tract but can involve extraintestinal organs including musculoskeletal system and skin. The most frequent cardiac manifestations of UC are pericarditis and myocarditis. Patients display an increased risk for venous thromboembolic complications and mesenteric ischemia, but the associati...

متن کامل

Complete Atrioventricular Block Complicating Acute Myocardial Infarction in the Thrombolytic Era

RESULTS During the 1990s, the incidence of CAVB was 3.7% compared with 5.3% in the 1980s, p 5 0.0007. In the 1990s, mortality of patients with CAVB was significantly higher than in those without CAVB at 7 days (odds ratio [OR] 5 4.05 95% CI [confidence interval] 2.34 to 6.82, 30 days OR 5 3.98 [95% CI 2.44 to 6.43] and one-year hazard ratio [HR] 5 2.36, [95% CI 1.68 to 3.30]) and similar in thr...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: Bali Journal of Anesthesiology

سال: 2021

ISSN: ['2549-2276']

DOI: https://doi.org/10.4103/bjoa.bjoa_76_21