A case of tachydysrhythmia. Refractory to propranolol and responsive to neostigmine.
A case of atrial fibrillation, with a fast ventricular response, which developed under enflurane anaesthesia is described in a patient previously treated with digitalis and propranolol. The intravenous administration of propranolol was ineffective whereas that of neostigmine and atropine, 2 hours later, was successful and reduced the ventricular rate to normal values.
D000768:Anesthesia, General / Q000009:adverse effects; D001145:Arrhythmias, Cardiac / Q000139:chemically induced* / Q000188:drug therapy; D001281:Atrial Fibrillation / Q000188:drug therapy; D004074:Digitoxin / Q000627:therapeutic use; D004347:Drug Interactions; D004737:Enflurane / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008738:Methyl Ethers / Q000009:adverse effects*; D008875:Middle Aged; D009388:Neostigmine / Q000627:therapeutic use*; D011433:Propranolol / Q000627:therapeutic use*; D013997:Time Factors
D008738:Methyl Ethers; D009388:Neostigmine; D004737:Enflurane; D011433:Propranolol; D004074:Digitoxin