Effects of magnesium and potassium on Wolff-Parkinson-White syndrome.

Abstract:

:To investigate the effects of electrolytes on anterograde conduction via accessory pathways, 12 patients with Wolff-Parkinson-White syndrome received, while in sinus rhythm, intravenous KCl (7 mEq in 200 mL of 0.9% NaCl), MgSO4 (10 mL 20% in 200 mL of 0.9% NaCl), NaCl (0.9%, 200 mL), and procainamide (maximal dose, 10 mg/kg of body weight over a 5-minute period) in a randomized fashion. NaCl had no effect on preexcitation. Procainamide abolished preexcitation in seven patients, of whom five had a similar response with MgSO4 and four with KCl. The finding that potassium and magnesium transiently abolish preexcitation in some Wolff-Parkinson-White patients deserves further study, especially during tachyarrhythmias in patients with accessory pathways.

journal_name

J Electrocardiol

authors

Sideris AM,Galiatsu E,Filippatos GS,Kappos K,Anthopoulos LP

doi

10.1016/s0022-0736(96)80106-3

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

11-5

issue

1

eissn

0022-0736

issn

1532-8430

pii

S0022-0736(96)80106-3

journal_volume

29

pub_type

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