Wide QRS tachycardia refractory to pharmacologic interventions and cardioversion

Emmanouil S. Brilakis, Wolfe E. Martin, Harilaos S. Brilakis, Paul A. Friedman

Research output: Contribution to journalArticlepeer-review


The case of a 43-year-old man with an idiopathic wide QRS tachycardia resistant to adenosine, lidocaine, procainamide, and multiple electric shocks is described. The tachycardia eventually stopped after a pacing wire was introduced in the right ventricle, inducing a run of rapid ventricular tachycardia. The possible causes of resistance to medications and cardioversion, and alternative treatment modalities are reviewed. (C) 2000 by W.B. Saunders Company.

Original languageEnglish (US)
Pages (from-to)453-456
Number of pages4
JournalAmerican Journal of Emergency Medicine
Issue number4
StatePublished - Jul 2000


  • Adenosine
  • Amiodaron e
  • Bretylium
  • Electric countershock
  • Lidocaine
  • Procainamide
  • Tachycardia

ASJC Scopus subject areas

  • Emergency Medicine


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