[Case report: tachyarrhythmia in the sports stadium - differential diagnosis and therapy].
Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie · 2008-03-01 · Case report
Abstract
Preclinical occuring tachyarrhythmias could represent a life-threatening situation. Signs of haemodynamically instability like systolic blood pressure <90mmHg, heart rate >150/min, chest pain, heart failure, and reduced conscious level should rapidly be recognized. Immediately treatment using electrical cardioversion is then indicated. A therapeutic option in patients with haemodynamically stable tachycardia is the application of an antiarrhythmic drug. The following case describes the preclinical treatment of a patient with a haemodynamically unstable reentry-tachycardia. In the after-care clinic an electrophysiological evaluation reveals the existence of a reentry-tachycardia induction and clarifies the pathophysiology. In symptomatic tachycardias, catheter ablation is the method of choice.