Ivabradine sensitive incessant atrial tachycardia

Nimmagadda, Satya Sudhish; Ahmad, Salman Shafeeque; Malladi, Srinivasa Rao

doi:10.1016/j.ihj.2021.11.033

Indian Heart Journal

2021

DOI: 10.1016/j.ihj.2021.11.033

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Ivabradine sensitive incessant atrial tachycardia

Satya Sudhish Nimmagadda

Salman Shafeeque Ahmad

Srinivasa Rao Malladi

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Multiple drugs

2021

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Multiple drugsAtrioventricular block and treatment failure: case report A 13-year-old girl exhibited treatment failure while receiving adenosine, metoprolol, amiodarone, phenytoin, digoxin and diltiazem for atrial tachycardia. Additionally, she developed atrioventricular (AV) block during treatment with diltiazem.The girl was admitted with a 2-month history of palpitations and breathlessness. An ECG revealed narrow complex focal atrial tachycardia at a rate of 170 beats/min. She was diagnosed to have ectopic atrial tachycardia with tachycardia-induced cardiomyopathy. She received adenosine, metoprolol, amiodarone, phenytoin, digoxin and diltiazem [dosages and routes not stated] with vagal manoeuvres/carotid massage or cardioversion. The treatment failed to revert the arrhythmia. She also developed transient AV block secondary to diltiazem [duration of treatment to reaction onset and outcome not stated].The girl was placed on a temporary right ventricle pacing. She received magnesium sulfate, unspecified diuretics, low-dose enalapril and unspecified anxiolytics. She also started receiving ivabradine. Within 6 hours, her HR decreased from 180 beats/min to 100 beats/min. Repeat 2D-echo revealed an improvement of ejection fraction. Later, metoprolol was added to the regimen.

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Ivabradine sensitive incessant atrial tachycardia

Cited by 1 publication

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Multiple drugs

Multiple drugs

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