Case Reports1 January 1959VENTRICULAR TACHYCARDIA: A CASE REQUIRING MASSIVE AMOUNTS OF PROCAINE AMIDE (PRONESTYL) FOR REVERSIONLARRY J. EMBREE, M.D., SAMUEL A. LEVINE, M.D., F.A.C.P.LARRY J. EMBREE, M.D.Search for more papers by this author, SAMUEL A. LEVINE, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-50-1-222 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe following case is being reported because of the huge and unprecedented amount of medications required to control successfully a desperate cardiac complication, i.e., paroxysmal ventricular tachycardia. It was fairly clear from the experience during one of the episodes in this case that the tachycardia of itself might prove fatal. This permitted us—and encouraged us—to use the massive amounts of medication that proved to be necessary to control a subsequent attack.CASE REPORTThis 46 year old married machinist was admitted to the Peter Bent Brigham Hospital for the second time on June 27, 1957. He had apparently been in...Bibliography1. ArmbrustLevine CASA: Paroxysmal ventricular tachycardia: a study of one hundred and seven cases, Circulation 1: 28, 1950. CrossrefMedlineGoogle Scholar2. HarveyLevine WPSA: Paroxysmal ventricular tachycardia due to emotion, J. A. M. A. 150: 479, 1952. CrossrefMedlineGoogle Scholar3. Salley SM: An unusual atropin effect on ventricular tachycardia, Am. J. M. Sc. 183: 456, 1932. CrossrefGoogle Scholar4. GoodmanGilman LSA: The pharmacological basis of therapeutics, 2nd Ed., 1955, The Macmillan Company, New York, pp. 724-727. Google Scholar5. PascaleBernsteinSchoolmanFoley LRLMHMEF: Intravenous procaine amide in the treatment of cardiac arrhythmias, Am. Heart J. 48: 110, 1954. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Boston, Massachusetts*Received for publication September 15, 1957.From the Medical Clinic of the Peter Bent Brigham Hospital, Boston, Massachusetts.Requests for reprints should be addressed to Samuel A. Levine, M.D., 270 Commonwealth Avenue, Boston 16, Massachusetts. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byClinical use of antiarrhythmic drugsGlucagon in procainamide-induced cardiac toxicityMassive Doses of Procainamide for Ventricular Tachyarrhythmias due to Myocardial InfarctionVentricular tachycardia of 70 days' duration with survivalIntractable ventricular tachycardiaPersistent ventricular tachycardiaThe management of arrhythmias in acute myocardial infarction 1 January 1959Volume 50, Issue 1Page: 222-231KeywordsArrhythmiaHospitalsTachycardiaVentricular tachycardia ePublished: 1 December 2008 Issue Published: 1 January 1959 PDF downloadLoading ...