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Prevention of Ventricular Tachycardia and Stokes-Adams Seizures in Complete Heart BlockTreatment With Large Doses of Intravenous Isoproterenol
ROBERT J. MATTHEWS, MD
Arch Intern Med. 1965;116(1):120-124.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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THE PREFERRED treatment of Stokes-Adams seizures in complete atrioventricular heart block depends on the identification of the causative cardiac disorder by electrocardiography. These disorders, which may be multiple and variable in the same individual, include ventricular asystole, tachycardia, flutter, and fibrillation.1-3
The various methods of treatment of Stokes-Adams seizures in complete atrioventricular heart block include the use of sympathicomimetic amines, kaluretic agents, steroids, molar sodium lactate, oxygen, external and intracardiac pacemakers, and implantable pacemakers.1-6 The following case of complete heart block is presented to illustrate the use of increasingly large doses of intravenous isoproterenol hydrochloride to control recurrent Stokes-Adams seizures secondary to ventricular tachycardia without developing evidence of cardiac or systemic toxicity.
Report of Case
The patient is a 67-year-old woman with known hypertension for the last 13 years, who was found 3 years ago to have congestive heart failure, left ventricular enlargement, and complete atrioventricular heart
. . . [Full Text PDF of this Article]
Author Affiliations
LOS ANGELES
From the California College of Medicine. Instructor in Medicine.
Footnotes
Received for publication Dec 8, 1964; accepted Jan 21, 1965.
Reprint requests to 15207 Sherman Way, Van Nuys, Calif.
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