Induction of atrial fibrillation after the routine use of adenosine.
We report a case of atrial fibrillation induction after the use of adenosine for the termination of supraventricular tachycardia in the emergency department. Atrial fibrillation is not an uncommon side effect of adenosine administration. Hemodynamic collapse may occur if an antegrade-conducting accessory pathway allows for a rapid ventricular response. Therefore, we would recommend that the use of adenosine be limited to situations in which there is appropriate electrocardiographic monitoring and emergency resuscitative capabilities.
The Cardiac Center, The Children's Hospital of Philadelphia, Division of Cardiology, Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, PA, USA. kaltman@email.chop.edu
Jonathan R
JR
Kaltman
Ronn E
RE
Tanel
Maully J
MJ
Shah
Victoria L
VL
Vetter
Larry A
LA
Rhodes
D000241:Adenosine / Q000009:adverse effects*; D000889:Anti-Arrhythmia Agents / Q000009:adverse effects*; D001281:Atrial Fibrillation / Q000139:chemically induced*; D002648:Child; D006801:Humans; D008297:Male
D000889:Anti-Arrhythmia Agents; D000241:Adenosine