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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
5 Pt 1
|
| pubmed:dateCreated |
1997-8-25
|
| pubmed:abstractText |
Sinus tachycardia caused by circulating catecholamines in the setting of congestive heart failure may impair systemic perfusion because of decreased diastolic filling time. We report the case of a patient with Wolff-Parkinson-White syndrome with angina and cardiogenic shock who improved dramatically following administration of neostigmine. Cardiac output, blood pressure, and stroke volume increased as heart rate was reduced. A previous attempt at heart rate control, in the same patient, using a low dose beta-antagonist, precipitated hemodynamic collapse. The remarkable recovery of our patient suggests that acetylcholinesterase inhibitors may warrant further investigation in patients with severe sinus tachycardia.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
May
|
| pubmed:issn |
0147-8389
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
20
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
1369-72
|
| pubmed:dateRevised |
2007-11-15
|
| pubmed:meshHeading |
pubmed-meshheading:9170142-Adult,
pubmed-meshheading:9170142-Catecholamines,
pubmed-meshheading:9170142-Cholinesterase Inhibitors,
pubmed-meshheading:9170142-Female,
pubmed-meshheading:9170142-Heart Failure,
pubmed-meshheading:9170142-Humans,
pubmed-meshheading:9170142-Neostigmine,
pubmed-meshheading:9170142-Tachycardia, Sinus
|
| pubmed:year |
1997
|
| pubmed:articleTitle |
High dose neostigmine treatment of malignant sinus tachycardia.
|
| pubmed:affiliation |
Department of Anesthesiology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
|
| pubmed:publicationType |
Journal Article,
Case Reports
|