Pulmonary edema post-cardioversion: a potential calcium signalling problem.
The present report describes an unusual case of pulmonary edema after adenosine cardioversion of a supraventricular tachycardia. Despite a structurally normal heart, a 52-year-old woman presented with pulmonary edema on two separate occasions, having had her atrioventricular nodal re-entrant tachycardia terminated with 12 mg of intravenous adenosine. A third similar episode of tachycardia that was terminated with verapamil was not complicated by pulmonary edema.
Hersi
Ahmad
A
Libin Cardiovascular Institute of Alberta, University of Calgary, Alberta.
Armstrong
Paul W
PW
Choy
Jonathan B
JB
Gulamhusein
Sajad
S
Kavanagh
Katherine M
KM
D000241:Adenosine / Q000008:administration & dosage / Q000009:adverse effects*; D000889:Anti-Arrhythmia Agents / Q000008:administration & dosage / Q000009:adverse effects*; D020013:Calcium Signaling / Q000187:drug effects*; D004359:Drug Therapy, Combination; D017548:Echocardiography, Transesophageal; D004554:Electric Countershock / Q000379:methods; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008875:Middle Aged; D011654:Pulmonary Edema / Q000139:chemically induced*; D013611:Tachycardia, Atrioventricular Nodal Reentry / Q000188:drug therapy* / Q000628:therapy; D013617:Tachycardia, Supraventricular / Q000628:therapy; D016896:Treatment Outcome; D014700:Verapamil / Q000627:therapeutic use
D000889:Anti-Arrhythmia Agents; D014700:Verapamil; D000241:Adenosine