June 1, 1995European Heart Journal

Reversal of atropine-resistant atrioventricular block with intravenous aminophylline in the early phase of inferior wall acute myocardial infarction following treatment with streptokinase

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Key result

Intravenous aminophylline reversed atropine-resistant bradyarrhythmias in three patients with acute inferior myocardial infarction following streptokinase, avoiding temporary pacing.

Why the study?

Does intravenous aminophylline reverse atropine-resistant bradyarrhythmias in patients with acute inferior myocardial infarction?

Population

n=3 patients with acute inferior myocardial infarction treated with aspirin and streptokinase, who developed…

Design

Case_series

Authors

JGJonathan GoodfellowNational Health Service Wales PWPaul R. WalkerUniversity of California, Los Angeles

Discussion

Member takes

Implication

May avoid temporary pacing in select refractory cases; hypothesis-generating case report leaves efficacy open for prospective trials.

Structured PICO

Does intravenous aminophylline reverse atropine-resistant bradyarrhythmias in patients with acute inferior myocardial infarction?

Population

n=3 patients with acute inferior myocardial infarction treated with aspirin (150 mg) and streptokinase (1.5 MU over 60 min), who developed atropine-resistant bradyarrhythmias during or immediately following streptokinase.

Intervention

Intravenous aminophylline

Outcome

Reversal of bradyarrhythmias and avoidance of temporary pacing

Intravenous aminophylline may be an effective treatment for atropine-resistant bradyarrhythmias in the setting of acute inferior myocardial infarction, potentially avoiding the need for temporary pacing.

Cite This Study

Goodfellow et al. (1995) studied this question. Intravenous aminophylline reversed atropine-resistant bradyarrhythmias in three patients with acute inferior myocardial infarction following streptokinase, avoiding temporary pacing.

synapsesocial.com/papers/6a0d291ed7cdc72b866566e0 https://doi.org/10.1093/oxfordjournals.eurheartj.a061008

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Reversal of atropine-resistant atrioventricular block with intravenous aminophylline in the early phase of inferior wall acute myocardial infarction following treatment with streptokinase

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Reversal of atropine-resistant atrioventricular block with intravenous aminophylline in the early phase of inferior wall acute myocardial infarction following treatment with streptokinase

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider