Dopamine-induced increase in atrioventricular conduction in atrial fibrillation-flutter.
We report a patient with controlled atrial fibrillation-flutter (AFF) and mitral stenosis who developed a marked increase in atrioventricular conduction during an infusion of low dose dopamine with development of hemodynamic compromise. This side effect has not been previously described in humans. Dopamine infusion should be used with caution in patients with AFF.
Gelfman
D M
DM
Division of Cardiology, Medical College of Virginia, Richmond 23298.
Ornato
J P
JP
Gonzalez
E R
ER
D001281:Atrial Fibrillation / Q000503:physiopathology*; D001282:Atrial Flutter / Q000503:physiopathology*; D001283:Atrioventricular Node / Q000187:drug effects* / Q000503:physiopathology; D002036:Bundle of His / Q000187:drug effects; D004298:Dopamine / Q000009:adverse effects*; D004562:Electrocardiography; D005260:Female; D006329:Heart Conduction System / Q000187:drug effects*; D006801:Humans; D008875:Middle Aged
D004298:Dopamine