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Anesth Analg 2002;95:310-315
© 2002 International Anesthesia Research Society

CARDIOVASCULAR ANESTHESIA

Bidirectional Tachycardia: Two Cases and a Review

Ali Al-Khafaji, MD*, Howard L. Corwin, MD*, Gur C. Adhar, MD{dagger}, and Mark L. Greenberg, MD{ddagger}

*Section of Critical Care Medicine, Department of Anesthesiology, and {ddagger}Section of Cardiology, Department of Internal Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire; and {dagger}Section of Cardiology, Department of Medicine, The Mercy Hospital of Pittsburgh, Pittsburgh, Pennsylvania

Address correspondence and reprint requests to Ali Al-Khafaji, MD, Dartmouth Medical School, Section of Critical Care Medicine, Dartmouth Hitchcock Medical Center, One Medical Center Dr., Lebanon, NH 03756. Address e-mail to Alkhafaji{at}hotmail.com

IMPLICATIONS: Bidirectional tachycardia is an uncommon and unique arrhythmia. It typically occurs in patients with digitalis toxicity, but it can also be associated with other causes. There has been controversy regarding the origin and the mechanism of bidirectional tachycardia. Treatment of bidirectional tachycardia involves the correction of reversible factors and the use of some antiarrhythmic medication.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2002 by the International Anesthesia Research Society.