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(Chest. 1972;61:682-683.)
© 1972 American College of Chest Physicians

Alarming Ventricular Acceleration after Lidocaine Administration

Henry J. L. Marriott M.D.1 and Clare F. Bieza R.N.1

1 Coronary Care Center, St. Anthony's Hospital, St. Petersburg, Florida

A patient with atrial flutter and variable A-V conduction with a ventricular rate of 165 received a single bolus of lidocaine for multiform anomalous beats; the ventricular rate promptly accelerated to 265, thanks to the development of 1:1 conduction. We discuss and emphasize the danger of administering lidocaine in the presence of atrial tachyarrhythmias with rapid ventricular response.






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Copyright © 1972 by the American College of Chest Physicians.