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Propofol terminates ventricular fibrillation storm caused by pulmonary embolism

Propofol terminates ventricular fibrillation storm caused by pulmonary embolism
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摘要 To the editor: In March 2009, a 56-year-old woman was referred to our hospital for chest discomfort that had lasted for 12 hours. ECG revealed frequent ventricular premature beats and a complete right bundle branch block. Serum CK and cardiac troponin I was normaL. Serum biochemistry and blood gas analysis were unremarkable. During hospitalization, she had frequent syncope and ventricular tacbycardia/fibrillation (VT/VF) (Figure 1A). The VT/VF required electric shock more than 68 times. Treatment with several antiarrhythmic drugs including amiodarone, lidocaine, verapamil, propafenone, and esmolol was attempted but failed. We administered a bolus of the propofol intravenously to decrease the sympathetic activity which might be associated with the VT/ VF storm. To the editor: In March 2009, a 56-year-old woman was referred to our hospital for chest discomfort that had lasted for 12 hours. ECG revealed frequent ventricular premature beats and a complete right bundle branch block. Serum CK and cardiac troponin I was normaL. Serum biochemistry and blood gas analysis were unremarkable. During hospitalization, she had frequent syncope and ventricular tacbycardia/fibrillation (VT/VF) (Figure 1A). The VT/VF required electric shock more than 68 times. Treatment with several antiarrhythmic drugs including amiodarone, lidocaine, verapamil, propafenone, and esmolol was attempted but failed. We administered a bolus of the propofol intravenously to decrease the sympathetic activity which might be associated with the VT/ VF storm.
出处 《Chinese Medical Journal》 SCIE CAS CSCD 2014年第21期3840-3840,共1页 中华医学杂志(英文版)
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