Pindolol (Viscén) in persistent ventricular fibrillation. A case report.
The beneficial effect of a beta-blocking agent (pindolol), given as an adjuvant to DC-shock and lidocaine therapy in a case of heart resuscitation is reported. A 65-year-old female patient was operated for an abdominal aortic aneurysm. At the conclusion of the operation, which was prolonged and difficult, the patient developed alternating ventricular tachycardia and fibrillation. Within a time interval of 50 min electrical defibrillation was performed 20 to 25 times, and as much as 1100 mg of lidocaine was administered. Simultaneously, combined internal/external cardiac massage was performed. The patient's arrhythmia continued to recur after defibrillation until pindolol in dosages of 0.2 mg had been given twice intravenously. A permanent sinus rhythm was then achieved.
D000368:Aged; D001014:Aortic Aneurysm / Q000601:surgery; D004554:Electric Countershock / Q000009:adverse effects; D005260:Female; D006801:Humans; D008012:Lidocaine / Q000627:therapeutic use; D010869:Pindolol / Q000627:therapeutic use*; D012151:Resuscitation; D013610:Tachycardia / Q000188:drug therapy / Q000209:etiology; D014693:Ventricular Fibrillation / Q000188:drug therapy* / Q000209:etiology
D008012:Lidocaine; D010869:Pindolol