The Treatment of Paroxysmal Ventricular Tachycardia with Isoproterenol

Case Studies1 April 1964The Treatment of Paroxysmal Ventricular Tachycardia with IsoproterenolWILLIAM L. UNDERHILL, M.D., JOHN B. TREDWAY, M.D., F.A.C.P.WILLIAM L. UNDERHILL, M.D.Search for more papers by this author, JOHN B. TREDWAY, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-60-4-680 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptOf the various cardiac arrhythmias encountered, one of the most life-threatening is ventricular tachycardia. This arrhythmia generally occurs in association with ventricular damage and is a common cause of Stokes-Adams attacks. Traditionally, in the absence of complete heart block, control of ventricular tachycardia has been with cardiac depressants. The following case illustrates the successful use of isoproterenol to control paroxysmal ventricular tachycardia refractory to quinidine and procaine amide.CASE REPORTThis 42-year-old white housewife was in good health until about 8 months before admission when she began to notice substernal burning associated with use of her arms. This pain was...References1. ROBBINGOLDFEINSCHWARTZDARK SRSMJS: Adams-Stokes syndrome. The treatment of ventricular systole, ventricular tachycardia, and ventricular fibrillation associated with complete heart block. Amer. J. Med. 18: 577, 1955. CrossrefMedlineGoogle Scholar2. ZOLLLINENTHALGIBSONPAULNORMAL PMAJWMHLR: Intravenous drug therapy of Stokes-Adams disease. Effects of sympathomimetic ameans on ventricular rhythmicity and atrioventricular conduction. Circulation 17: 325, 1958. CrossrefMedlineGoogle Scholar3. LINENTHALZOLL AJPM: Prevention of ventricular tachycardiaa and fibrillation by intravenous isoproterenol and epinephrine. Circulation 27: 5, 1963. CrossrefMedlineGoogle Scholar4. GOLDCORDAY HE: Vasopressor therapy in cardiac arrhythmias. New Eng. J. Med. 260: 1151, 1959. CrossrefMedlineGoogle Scholar5. MCGINNSCHLUGER JTJ: Levarterenol bitartrate (Levophed) in treatment of cardiac arrhythmias. Amer. Heart J. 50: 625, 1955. CrossrefMedlineGoogle Scholar6. CORDAYWILLIAMSDEVERAGOLD EJHLBH: Hemodynamics of coronary circulation during cardiac arrhythmias. Mod. Cone. Cardiov. Dis. 27: 493, 1958. MedlineGoogle Scholar7. CORDAYWILLIAMSDEVERAGOLD EJHLBH: Effects of cardiac arrhythmias on coronary and systemic circulation. Ann. Intern. Med. 50: 535, 1959. LinkGoogle Scholar8. CORDAYIRVING EDW: Disturbance of Heart Rate, Rhythm and Conduction. W. B. Saunders Company, Philadelphia, 1961. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Erie, PennsylvaniaFrom the Cardiovascular Unit, Hamot Hospital, Erie, Pennsylvania.Requests for reprints should be addressed to William L. Underhill, M.D., Hamot Hospital, Erie, Pennsylvania. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byFluoroaromatic Compounds"Les Torsades de Pointes": An Unusual Ventricular ArrhythmiaWARREN M. SMITH, M.D., JOHN J. GALLAGHER, M.D.Intensivtherapie und Prognose des akuten KreislaufstillstandesParoxysmal ventricular tachycardia and fibrillation without complete heart block 1 April 1964Volume 60, Issue 4Page: 680-682KeywordsArrhythmiaHeartIsoproterenolTachycardiaVentricular tachycardia Issue Published: 1 April 1964 PDF downloadLoading ...