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  • Title: Adenosine-induced worsening of supraventricular tachycardia.
    Author: Kunnumpuram GK, Patel A.
    Journal: BMJ Case Rep; 2012 Dec 10; 2012():. PubMed ID: 23230260.
    Abstract:
    An approximately 20-year-old to 30-year-old patient presented with a haemodynamically stable supraventricular tachycardia . The patient was managed with intravenous adenosine primarily, with two bolus doses of 6 and 12 mg. This, however, caused a rare paradoxical surge of tachycardia with mild haemodynamic compromise. The patient further required a combination of Metoprolol and Verapamil administration to slow down and reverse the arrhythmia. Following this the patient remained stable with no further episodes till discharge.
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