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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KeyWord: Arrhythmia, cardiac  Atrial fibrillation  Electric countershock  Wolff-Parkinson-White syndrome  Spinal cord injuries
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Author NameAffiliation
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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