Use of Intravenous Dofetilide in Atrial Flutter With Hemodynamic Instability

Akinori Kuruma; Hirotsugu Atarashi; Takeshi Ino; Masa-aki Yashima; Atsunobu Nomura; Hirokazu Hayakawa

doi:10.1253/jcj.60.67

Case Report

Use of Intravenous Dofetilide in Atrial Flutter With Hemodynamic Instability

Akinori Kuruma, Hirotsugu Atarashi, Takeshi Ino, Masa-aki Yashima, Atsunobu Nomura, Hirokazu Hayakawa

著者情報

キーワード: Class III antiarrhythmic agent, Cardiogenic shock, Atrioventricular node, Refractoriness

ジャーナルフリー

1996 年 60 巻 1 号 p. 67-69

DOI https://doi.org/10.1253/jcj.60.67

詳細

抄録

Paroxysmal atrial flutter is a drug-resistant supraventricular tachyarrhythmia that is often accompanied by hemodynamic instability due to an excessive ventricular response. We report here a case of atrial flutter with 1:1 atrioventricular conduction, in which we were able to rescue the patient from a state of cardiogenic shock by using intravenous dofetilide, a new class III antiarrhythmic agent. Dofetilide was suitable for the treatment because it immediately increased atrioventricular nodal refractoriness without any negative inotropic action. (Jpn Circ J 1996; 60: 67 - 69)

責任著者(Corresponding author)

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