Electroversion in treatment of arrhythmia in a patient with Wolff-Parkinson-White syndrome and cervical spinal cord injury

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摘要We report electroversion in treatment of atrial fibrillation (AF) and atrioventricular nodal reentry tachycardia (AVNRT) in a patient with Wolff-Parkinson-White syndrome and cervical spinal cord injury.At first,the patient sustained respiratory failure and weak cough reflex,thereafter repeated bronchoscopy was used to aspirate the sputum as well as control the pneumonia,which resulted in arrhythmia (AF and AVNRT).Two doses of intravenous amiodarone failed to correct the arrhythmia.After restoration of sinus rhythm by electroversion,he was successfully weaned from mechanical ventilation and discharged from the intensive care unit without recurrent arrhythmia.

作者单位 Department of Emergency Medicine, Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310000, China ^[1] Department of Vasculocardiology, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, China ^[2]

关键词 Arrhythmia,cardiac Atrial fibrillation Electric countershock Wolff-Parkinson-White syndrome Spinal cord injuries

栏目名称 CASE REPORTS

DOI 10.3760/cma.j.issn.1008-1275.2013.03.009

发布时间 2013-07-24

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