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e-ISSN 2476-468X
p-ISSN 2476-7174
Coronary Vasospasm after Giving Adenosine for Supraventricular Tachycardia
Authors
1Department of Medicine, MGM Medical College and MY Hospital, Indore, New Delhi, India
*Corresponding Author: Corresponding author:Department of Medicine, MGM Medical College and MY Hospital, Indore, New Delhi, India. E-mail: Email: mohitnaredi@gmail.com
Published online:Aug 08, 2019
Article type:Case Report
Received:Jun 21, 2019
Accepted:Jul 11, 2019
How to Cite:naredi M, Bharani A. Coronary Vasospasm after Giving Adenosine for Supraventricular Tachycardia. Int J Cardiovasc Pract. 2019;4(2):e130554. doi: https://doi.org/10.29252/ijcp-26080
Abstract
Palpitations due to supra-ventricular tachycardia are a common mode of presentation to the emergency department. A 12 lead electrocardiography usually leads to immediate diagnosis and prompt management of this condition. Adenosine injection is the treatment of choice for rapid termination of supra-ventricular tachycardia which is widely used. It is generally considered safe and serious side effects are rare. We presented a rare case of a post-menopausal female admitted with supra-ventricular tachycardia and after injection of Adenosine, chest pain with a transient elevation of ST segment occurred. The ST segment changes reverted back to normal after a few minutes spontaneously without any therapy. This phenomenon could be explained due to coronary vasospasm produced by Adenosine. A review of literature revealed anecdotal cases of adenosine induced possible coronary vasospasm.
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Copyright
© 2019, International Journal of Cardiovascular Practice. This open-access article is available under the Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0) International License (https://creativecommons.org/licenses/by-nc/4.0/), which allows for the copying and redistribution of the material only for noncommercial purposes, provided that the original work is properly cited.
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