TITLE:
Atrial Fibrillation Induction in a Pediatric Patient during Adenosine Administration
AUTHORS:
Jeffrey A. Robinson, Christopher S. Snyder
KEYWORDS:
Pediatric, Adolescent, Electrophysiology, Atrial Fibrillation, Adenosine
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.7 No.3,
March
8,
2017
ABSTRACT: Adenosine by rapid intravenous bolus is frequently utilized in clinical practice as both a pharmacologic treatment for supraventricular (reentrant) tachycardia and in provocative testing for the diagnosis of Wolff-Parkinson-White (WPW) syndrome. This is a case report of an otherwise healthy adolescent female who received adenosine during a provocative test for WPW syndrome. Immediately after receiving adenosine, the patient had a self-limited episode of atrial fibrillation. When administering adenosine, teams should be aware of the potential adverse effects and be prepared to treat appropriately.