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Case Report
Online Published: 18 May 2025
 


Adenosine Infusion for Conversion of Atrial Flutter to Sinus Rhythm: A Case Report

Ioannis Vogiatzis, Irini Lafazanidou, Evangelos Sdogkos.


Abstract
Introduction: Adenosine ceases supraventricular arrhythmia affecting the atrioventricular (AV) node. It may also impact atrial tachycardias to discover the underlying mechanism.
Case report: A 51-year-old man was presented in the Emergency Department with supraventricular tachycardia and a heart rate 150 beats/min. Atrial flutter was identified as monomorphic atrial tachycardia with characteristic "saw-toothed heart" notched atrial waves. Adenosine 12 mg was administered, resulting in an atrioventricular block, unmasked the flutter waves, evolved to atrial fibrillation and rapid conversion to Normal Sinus Rhythm (NSR).
Conclusion: The administration of adenosine is an acceptable solution for an unknown SVT arrhythmia to reveal the underlying mechanism at least.

Key words: Adenosine, atrial flutter, tachycardia, cardioversion, ECG.


 
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How to Cite this Article
Pubmed Style

Vogiatzis I, Lafazanidou I, Sdogkos E. Adenosine Infusion for Conversion of Atrial Flutter to Sinus Rhythm: A Case Report. Case Rep Ser Med. 2025; 2(2): 28-31. doi:10.5455/CRSM.20250418115551

Web Style

Vogiatzis I, Lafazanidou I, Sdogkos E. Adenosine Infusion for Conversion of Atrial Flutter to Sinus Rhythm: A Case Report. https://www.wisdomgale.com/crsm/?mno=253305 [Access: May 25, 2025]. doi:10.5455/CRSM.20250418115551

AMA (American Medical Association) Style

Vogiatzis I, Lafazanidou I, Sdogkos E. Adenosine Infusion for Conversion of Atrial Flutter to Sinus Rhythm: A Case Report. Case Rep Ser Med. 2025; 2(2): 28-31. doi:10.5455/CRSM.20250418115551


Vancouver/ICMJE Style

Vogiatzis I, Lafazanidou I, Sdogkos E. Adenosine Infusion for Conversion of Atrial Flutter to Sinus Rhythm: A Case Report. Case Rep Ser Med. (2025), [cited May 25, 2025]; 2(2): 28-31. doi:10.5455/CRSM.20250418115551


Harvard Style

Vogiatzis, I., Lafazanidou, . I. & Sdogkos, . E. (2025) Adenosine Infusion for Conversion of Atrial Flutter to Sinus Rhythm: A Case Report. Case Rep Ser Med, 2 (2), 28-31. doi:10.5455/CRSM.20250418115551


Turabian Style

Vogiatzis, Ioannis, Irini Lafazanidou, and Evangelos Sdogkos. 2025. Adenosine Infusion for Conversion of Atrial Flutter to Sinus Rhythm: A Case Report. Case Reports and Series in Medicine, 2 (2), 28-31. doi:10.5455/CRSM.20250418115551


Chicago Style

Vogiatzis, Ioannis, Irini Lafazanidou, and Evangelos Sdogkos. "Adenosine Infusion for Conversion of Atrial Flutter to Sinus Rhythm: A Case Report." Case Reports and Series in Medicine 2 (2025), 28-31. doi:10.5455/CRSM.20250418115551


MLA (The Modern Language Association) Style

Vogiatzis, Ioannis, Irini Lafazanidou, and Evangelos Sdogkos. "Adenosine Infusion for Conversion of Atrial Flutter to Sinus Rhythm: A Case Report." Case Reports and Series in Medicine 2.2 (2025), 28-31. Print. doi:10.5455/CRSM.20250418115551


APA (American Psychological Association) Style

Vogiatzis, I., Lafazanidou, . I. & Sdogkos, . E. (2025) Adenosine Infusion for Conversion of Atrial Flutter to Sinus Rhythm: A Case Report. Case Reports and Series in Medicine, 2 (2), 28-31. doi:10.5455/CRSM.20250418115551





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