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Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Brodmann, M; Seinost, G; Stark, G; Pilger, E.
Aggravation of pre-existing atrioventricular block, Wenckebach type, provoked by application of X-ray contrast medium.
CARDIOVASC INTERVEN RADIOL. 2006; 29(6): 1114-1116.
Doi: 10.1007/s00270-005-0133-x
(- Case Report)
Web of Science
PubMed
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- Leading authors Med Uni Graz
- Brodmann Marianne
- Co-authors Med Uni Graz
- Pilger Ernst
- Seinost Gerald
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- Abstract:
- BACKGROUND: Significant bradycardia followed by cardiac arrest related to single bolus administration of X-ray contrast medium into a peripheral artery has not, to our knowledge, been described in the literature. METHODS AND RESULTS: While performing a percutaneous transluminal angioplasty of the left superficial femoral artery in a 68-year old patient with a pre-existing atrioventricular (AV) block, Wenckebach type, he developed an AV block III after a single bolus injection of intra-arterial X-ray contrast medium. CONCLUSION: We believe that application of contrast medium causes a transitory ischemia in the obstructed vessel and therefore elevation of endogenous adenosine. In the case of a previously damaged AV node this elevation of endogenous adenosine may be responsible for the development of a short period of third-degree AV block.
- Find related publications in this database (using NLM MeSH Indexing)
- Aged -
- Angiography - methods
- Angioplasty, Balloon - methods
- Arterial Occlusive Diseases - therapy
- Contrast Media - administration and dosage
- Disease Progression - administration and dosage
- Electrocardiography - administration and dosage
- Femoral Artery - surgery
- Heart Block - chemically induced
- Humans - chemically induced
- Intraoperative Complications - chemically induced
- Male - chemically induced
- Severity of Illness Index - chemically induced
- Find related publications in this database (Keywords)
- adenosine
- atrioventricular node
- contrast medium
- percutaneous transluminal angioplasty