{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T06:18:27Z","timestamp":1764829107148,"version":"3.40.5"},"reference-count":15,"publisher":"Wiley","license":[{"start":{"date-parts":[[2023,7,6]],"date-time":"2023-07-06T00:00:00Z","timestamp":1688601600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Emergency Medicine"],"published-print":{"date-parts":[[2023,7,6]]},"abstract":"<jats:p>Background. The most frequent atrioventricular tachycardia in the emergency room is atrioventricular nodal reentrant tachycardia (AVNRT). The first treatment option for ending stable narrow QRS complex SVTs is vagal maneuvers and adenosine. When adenosine or vagal maneuvers fail to change a patient\u2019s rhythm to normal sinus rhythm, long-acting AV nodal-blocking medications, including nondihydropyridine calcium channel blockers (verapamil and diltiazem), flecainide, or beta-blockers, are employed. Electricity (synchronized cardioversion) is the preferred form of treatment for unstable patients. Case Presentation. A 40-year-old male patient presented to the Emergency Department of Dubti General Hospital, the Afar regional state in Ethiopia, with a complaint of shortness of breath, palpitation, extreme fatigue, and chest pain of a day\u2019s duration. His blood pressure was 80\/50\u2009mmHg, he had cold extremities and a weak radial pulse, and his apical heart rate was fast, making it difficult to count. His electrocardiogram (ECG) showed paroxysmal supraventricular tachycardia (PSVT) with a heart rate of 200. He was a candidate for electrical cardioversion due to unstable PSVT, but he and his family members refused to give consent. Even though he is not indicated for pharmacologic therapy, none of the commonly used drugs were available at the hospital. We managed him with digoxin, and the outcome was positive. Conclusion. Even though we could not find a clear recommendation regarding the use of digoxin for patients with unstable PSVT (AVNRT), by taking into consideration its negative chronotropic effect and its action to suppress the AV nodal conduction velocity, it may reduce the heart rate, and it can be used as an alternative in such difficult scenarios and a resource-limited setting. But this should be further investigated.<\/jats:p>","DOI":"10.1155\/2023\/7301460","type":"journal-article","created":{"date-parts":[[2023,7,6]],"date-time":"2023-07-06T20:56:32Z","timestamp":1688676992000},"page":"1-5","source":"Crossref","is-referenced-by-count":1,"title":["Digoxin for the Management of Unstable Paroxysmal Supraventricular Tachycardia in a Patient Who Refused Electrical Cardioversion in a Rural Hospital"],"prefix":"10.1155","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9952-0070","authenticated-orcid":true,"given":"Belayneh Dessie","family":"Kassa","sequence":"first","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Debre Tabor University, Debre Tabor, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mekbib","family":"Amede","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Debre Tabor University, Debre Tabor, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mollalign","family":"Wubante","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Debre Tabor University, Debre Tabor, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mebratu","family":"Libanos","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Debre Tabor University, Debre Tabor, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kumlachew","family":"Geta","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Debre Tabor University, Debre Tabor, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"year":"2023","key":"1","article-title":"Heart Rhythm Disorders | UpBeat.org - powered by the Heart Rhythm Society"},{"issue":"9","key":"2","first-page":"793","article-title":"Diagnosis and management of common types of supraventricular tachycardia","volume":"92","author":"M. R. Helton","year":"2015","journal-title":"American Family Physician"},{"issue":"8","key":"3","first-page":"942","article-title":"Common types of supraventricular tachycardia: diagnosis and management","volume":"82","author":"R. A. Colucci","year":"2010","journal-title":"American Family Physician"},{"key":"4","article-title":"Paroxysmal Supraventricular Tachycardia","volume-title":"StatPearls","author":"Y. Hafeez","year":"2023"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-87-3-346"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euj010"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.15502"},{"issue":"6","key":"8","first-page":"9692","article-title":"To decide medical therapy according to ECG criteria in patients with supraventricular tachycardia in emergency department: adenosine or diltiazem","volume":"8","author":"H. Dogan","year":"2015","journal-title":"International Journal of Clinical and Experimental Medicine"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2009.01.017"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.110.970988"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1016\/S0300-9572(01)00459-2"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(92)91071-B"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1097\/00005344-199100176-00008"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.2174\/138161208784007716"},{"key":"15","article-title":"Synchronized Electrical Cardioversion","volume-title":"StatPearls","author":"A. Goyal","year":"2023"}],"container-title":["Case Reports in Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/criem\/2023\/7301460.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criem\/2023\/7301460.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criem\/2023\/7301460.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,6]],"date-time":"2023-07-06T20:56:38Z","timestamp":1688676998000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/criem\/2023\/7301460\/"}},"subtitle":[],"editor":[{"given":"Aristomenis K.","family":"Exadaktylos","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2023,7,6]]},"references-count":15,"alternative-id":["7301460","7301460"],"URL":"https:\/\/doi.org\/10.1155\/2023\/7301460","relation":{},"ISSN":["2090-6498","2090-648X"],"issn-type":[{"type":"electronic","value":"2090-6498"},{"type":"print","value":"2090-648X"}],"subject":[],"published":{"date-parts":[[2023,7,6]]}}}