[Simultaneous incidence of chronic dissecans aortic aneurysm and bidirectional tachydardia].
In a 68-year-old patient during a therapy with digitalis and saluretics with maintenance doses a severe cardiac insufficiency develops. After intravenous injection of K-strophantoside temporarily a bidirectional tachycardia developed which enforced a discontinuation of the K-strophantoside therapy. A deterioration of the cardiac insufficiency caused the resumption of the strophantine treatment under the protection of novocamide (procainamide) and panangine (magnesium asparagin. anhydr. and calcium asparagin. anhydr.) without reappearance of a bidirectional tachycardia. The patient died of a severe cardiovascular insufficiency. If the bidirectional tachycardia appears in severe cardiac insufficiency a continuation of the treatment with K-strophantoside can be tried under the protection of antiarrhythmic drugs.
D000368:Aged; D001014:Aortic Aneurysm / Q000150:complications* / Q000473:pathology; D002908:Chronic Disease; D004562:Electrocardiography; D006801:Humans; D008297:Male; D013610:Tachycardia / Q000150:complications* / Q000473:pathology
Gemeinsames Vorkommen von chronischem Aortenaneurysma dissecans und bidirektionaler Tachykardie