Management of Dysrhythmia in Emergency Department
Journal Title: Archives of Academic Emergency Medicine - Year 2015, Vol 3, Issue 1
Abstract
n volume 2, No. 3 (2014) of this journal an interesting case report, describing a patient with atrial filbrillation (AF) and Wolff-Parkinson-White syndrome (WPW), was published (1). As the respective authors described, the patient was a 23-year-old man who had palpitation, on the Electrocardiograph (ECG), which was provided, we saw irregular monomorphic wide complex tachycardia with a heart rate of about 150 per minute. The patient was treat-ed with digoxin and consequently developed severe leth-argy, weakness, sweating and bradycardia. Post treatment ECG showed normal sinus rhythm (heart rate about 60) and obvious signs of WPW syndrome (short PR interval, initial delta waves and wide QRS). Based on post treat-ment ECG and response to procainamide, the authors concluded that administering digoxin in this patient was wrong and had resulted in the patient's symptoms.
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