World Heart Rhythm Conference

Introduction: Ajmalin is a class Ia antiarrythmic agent that blocks the sodium ion channels. This agent is mainly used in detecting Brugada syndrome, but also it has effects on prolonging the action potentials and provoking the lenghtening of the QT interval. The final result is in the slowing of the heart beat.

Material and Methods: This case report showing paroxismal supraventricular

tachycardia in a 55y/o male patient who suffered from myocardial infarction one month ago. The patient received i.v. and oral beta blockers, Ca-channel antagonists, Propafenone, Amiodarone,Xylocain , sotalol, 2grams of Magnesium i.v. There was no

efficiancy, except the minimum one with magnesium that slowed the heart rate from 160 per minute to 130/min.

Result: ECG after i.v. bolus of 50mg/10ml of ajmalin.

 

Conclusion: This is the great example of our expirience with ajmalin in a treatment of paroxismal tachycardia. We have been using ajmalin with a great efficiacy for more than 25 years or so. We recommend to all practitioners to consider using this very efficient antiarrhythmic drug.