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SHEN Peng,LUO Ru-bin,CAI Si-yu,ZHANG Mao.[J].Chin J Traumatol,2013,16(1):176-177. [doi] |
Electroversion in treatment of arrhythmia in a patient with Wolff-Parkinson-White syndrome and cervical spinal cord injury |
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DOI: |
KeyWord: Arrhythmia, cardiac Atrial fibrillation Electric countershock Wolff-Parkinson-White syndrome Spinal cord injuries |
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Author Name | Affiliation | SHEN Peng | Department of Emergency Medicine, Second Affiliated
Hospital of Zhejiang University School of Medicine,
Hangzhou 310000, China | LUO Ru-bin | Department of Emergency Medicine, Second Affiliated
Hospital of Zhejiang University School of Medicine,
Hangzhou 310000, China | CAI Si-yu | Department of Vasculocardiology, Second Affiliated
Hospital of Zhejiang University School of Medicine,
Hangzhou 310000, China | ZHANG Mao | Department of Emergency Medicine, Second Affiliated
Hospital of Zhejiang University School of Medicine,
Hangzhou 310000, China |
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Abstract: |
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. |
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