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The Treatment of Paroxysmal Ventricular Tachycardia with Isoproterenol

Ann Intern Med. 1964;60(4):680-682. doi:10.7326/0003-4819-60-4-680
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Of the various cardiac arrhythmias encountered, one of the most life-threatening is ventricular tachycardia. This arrhythmia generally occurs in association with ventricular damage and is a common cause of Stokes-Adams attacks. Traditionally, in the absence of complete heart block, control of ventricular tachycardia has been with cardiac depressants. The following case illustrates the successful use of isoproterenol to control paroxysmal ventricular tachycardia refractory to quinidine and procaine amide.

CASE REPORT: This 42-year-old white housewife was in good health until about 8 months before admission when she began to notice substernal burning associated with use of her arms. This pain was


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