Key result
A single 12 mg intravenous dose of adenosine successfully converted atrial flutter with rapid ventricular response to normal sinus rhythm.
Why the study?
Does adenosine infusion convert atrial flutter to sinus rhythm?
Case Report (n=1)
No
Does adenosine infusion convert atrial flutter to sinus rhythm?
Adenosine infusion may be associated with the conversion of atrial flutter to normal sinus rhythm.
Adenosine may convert select atrial flutter cases; leaves open its reliability and safety pending controlled trials.
Introduction Atrial flutter (AF) is the reentrance of signals in the atria resulting in beating up to five times faster than normal (i.e., 240-400 bpm). 1 Common symptoms experienced during an episode of atrial flutter includes palpitations, dizziness, chest tightness, shortness of breath, and fatigue. To manage atrial flutter, four major concerns must be addressed: (1) reversion to normal sinus rhythm (NSR), (2) maintenance of NSR, (3) control of the ventricular rate, and (4) prevention of systemic embolization. Antiarrhythmic (AA) medications can be used to either ‘‘pharmacologically convert” a person to NSR or to maintain it following an external electrical cardioversion. 2
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Siddiqi et al. (2013) conducted a case report in Atrial flutter (n=1). Adenosine was evaluated on Conversion to normal sinus rhythm. A single 12 mg intravenous dose of adenosine successfully converted atrial flutter with rapid ventricular response to normal sinus rhythm.
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