Reversal of atropine-resistant atrioventricular block with intravenous aminophylline in the early phase of inferior wall acute myocardial infarction following treatment with streptokinase

Eur Heart J. 1995 Jun;16(6):862-5. doi: 10.1093/oxfordjournals.eurheartj.a061008.

Abstract

We report three patients with acute inferior myocardial infarction treated with aspirin (150 mg) and streptokinase (1.5 MU over 60 min), who developed atropine-resistant bradyarrhythmias during or immediately following streptokinase. The bradyarrhythmias responded to aminophylline, thus avoiding the need for temporary pacing.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aminophylline / therapeutic use*
  • Atropine / therapeutic use*
  • Drug Resistance
  • Electrocardiography
  • Female
  • Heart Block / chemically induced*
  • Heart Block / diagnosis
  • Heart Block / drug therapy*
  • Humans
  • Injections, Intravenous
  • Male
  • Myocardial Infarction / drug therapy*
  • Streptokinase / adverse effects*
  • Streptokinase / therapeutic use

Substances

  • Aminophylline
  • Atropine
  • Streptokinase