December 21, 2007Emergency Medicine Journal

Pre-excited atrial fibrillation triggered by intravenous adenosine: a commonly used drug with potentially life-threatening adverse effects

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Population

1 31-year-old woman with Wolff-Parkinson-White syndrome presenting with a 2-hour history of regular…

Design

Case_report

Authors

ATAndrew TurleyJames Cook University Hospital SMSuzanne MurrayAxdev Group (Canada)JTJeetendra ThambyrajahEvolved Analytics (United States)

Discussion

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Implication

Adenosine may precipitate pre-excited AF in WPW; single case leaves open incidence and monitoring needs.

Structured PICO

Population

1 31-year-old woman with Wolff-Parkinson-White syndrome presenting with a 2-hour history of regular palpitations and narrow QRS complex tachycardia.

Intervention

Intravenous adenosine (rapid boluses, up to 12 mg).

Outcome

Development of pre-excited atrial fibrillation.safety

Intravenous adenosine can trigger potentially life-threatening pre-excited atrial fibrillation in patients with Wolff-Parkinson-White syndrome, highlighting the need for continuous ECG monitoring and resuscitation equipment during its administration.

Cite This Study

Turley et al. (2007) studied this question.

synapsesocial.com/papers/6a7f53fc0ae97466a489647d https://doi.org/10.1136/emj.2007.051227

Topics

Persistent AF management Atrial fibrillation Anticoagulation in AF

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Pre-excited atrial fibrillation triggered by intravenous adenosine: a commonly used drug with potentially life-threatening adverse effects

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Pre-excited atrial fibrillation triggered by intravenous adenosine: a commonly used drug with potentially life-threatening adverse effects

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

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