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Europace Advance Access originally published online on September 29, 2009
Europace 2009 11(11):1560-1561; doi:10.1093/europace/eup260
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org.

CASE REPORTS

Termination of idiopathic sustained monomorphic ventricular tachycardia by intravenous adenosine in a pregnant woman

Can Hasdemir*, Oktay Musayev, Mustafa B. Alkan, Levent H. Can and Hakan Kultursay

Department of Cardiology, Ege University School of Medicine, Bornova, Izmir 35100, Turkey

A 34-year-old pregnant woman presented to the emergency department with the complaints of palpitations at 32 weeks gestation. The diagnosis of right ventricular outflow tract ventricular tachycardia (VT) was made. Intravenous 5 mg of metoprolol and 25 mg of diltiazem did not terminate the VT. Ten milligrams of adenosine were administered. Within 10 s of adenosine administration, sustained VT converted to repetitive monomorphic VT and within 30 s to normal sinus rhythm. The mother and the foetus tolerated the medications well. Non-stress test for the assessment of the foetal well-being was normal.

* Corresponding author. Tel: +90 232 390 4001, Fax: +90 232 343 5392, Email: canrfca{at}yahoo.com

Manuscript submitted 6 July 2009. Accepted after revision 18 August 2009.


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