Home ] Gore/Up ]<<< ] >>> ]
UDK 616.22.099 ISSN 0350-2899, 28(2003) 1 p.43-45

Case report

Overdrive pace maker in propranolol - induced poisoning - case report

Slađana Anđelić
Gradski zavod za hitnu medicinsku pomoć, Beograd

Beta-adrenergic antagonist are used in the treatment of hypertension, angina, tachy-dysrhythmias and theophylline overdoses. Patients with symptomatic beta-adrenergic antagonist overdose are hypotensive and bradycardic. Decreased SA node functions results in sinus bradycardia or sinus arrest. Impaired atrioventricular conductions is manifested as prolonged PR interval or complete AV block. The indication for overdrive pacing was symptomatic bradicardia and complete AV block, not responding to i.v. atropine. We present a case of 65-years old women with propranolol poisoning. At the reception she was somnolent, disartric, eupnoic, with severe hypotension. There was a 29/min sinus bradicardia on ECG, with an complete AV block, not responding to i.v. atropine. In that case overdrive pacing is an optimal therapeutically option. 
Key words: Beta-antagonist, Propranolol, Bradicardia, Complete AV block, Overdrive Pacing
  Correspondence to:
Andjelić Sladjana
Pariske Komune 61/132, 11000 Beograd
e-mail: pekos@yubc.net

Received: 26.12.2002
Accepted: 15.01.2003
Home ] Gore/Up ]<<< ] >>> ]
Infotrend Crea(c)tive Design Revised: 20 May 2009