dtruelson
Guest
Conclusion
· No significant atrial ectopy with pharmacologic challenge:
○ Isoproterenol up to 0.1 mcg/kg/minute
○ Calcium
○ Calcium + isoproterenol
○ Aminophylline
Procedure Comments
Procedure Comments 17 y.o. with intermittently frequent and symptomatic PACs unable to be controlled with multiple medications and desiring ablation for symptom relief, presenting for non-invasive pharmacologic evaluation to try to identify a regimen that might elicit PACs sufficient for mapping.
The patient was brought to the pediatric surgical suite, an IV placed, and ECG and vitals continuously monitored. Isoproterenol was titrated 0.02, 0.04, 0.1 mcg/kg/minute, and then stopped and allowed to wash out. Calcium gluconate 1g IV was administered, then isoproterenol was restarted at 0.1 mcg/kg/minute, and then again stopped. Aminophylline 250 mg IV was administered. Repeat isoproterenol was deferred given nausea it had previously elicited.
Throughout these maneuvers, there was no atrial tachycardia and only two or three PACs elicited.
Would this be 96374? Any help is greatly appreciated.
· No significant atrial ectopy with pharmacologic challenge:
○ Isoproterenol up to 0.1 mcg/kg/minute
○ Calcium
○ Calcium + isoproterenol
○ Aminophylline
Procedure Comments
Procedure Comments 17 y.o. with intermittently frequent and symptomatic PACs unable to be controlled with multiple medications and desiring ablation for symptom relief, presenting for non-invasive pharmacologic evaluation to try to identify a regimen that might elicit PACs sufficient for mapping.
The patient was brought to the pediatric surgical suite, an IV placed, and ECG and vitals continuously monitored. Isoproterenol was titrated 0.02, 0.04, 0.1 mcg/kg/minute, and then stopped and allowed to wash out. Calcium gluconate 1g IV was administered, then isoproterenol was restarted at 0.1 mcg/kg/minute, and then again stopped. Aminophylline 250 mg IV was administered. Repeat isoproterenol was deferred given nausea it had previously elicited.
Throughout these maneuvers, there was no atrial tachycardia and only two or three PACs elicited.
Would this be 96374? Any help is greatly appreciated.