Pharmacological Cardioversion with Phenylephrine for Paroxysmal Supraventricular Tachycardia during Lung Resection Surgery: A Case Report.
- Author:
Hyun Jung KIM
1
;
Soo Kyung LEE
;
Young Mi KIM
;
Hyun Soo MOON
Author Information
1. Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Anyang, Korea. hysomoon@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Arrhythmias;
Paroxysmal supraventricular tachycardia;
Phenylephrine
- MeSH:
Adult;
Arrhythmias, Cardiac;
Atrial Fibrillation;
Electric Countershock*;
Humans;
Hypotension;
Lung*;
Male;
Mortality;
Phenylephrine*;
Risk Factors;
Tachycardia, Supraventricular*;
Thoracotomy;
Tuberculosis
- From:The Korean Journal of Critical Care Medicine
2006;21(1):57-62
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Supraventricular arrhythmias during and after thoracotomy for pulmonary resections are well documented, and risk factors of post-pulmonary resection arrhythmias are old age, magnitude of surgery, and coexisting cardiopulmonary disease etc. Among of supraventricular arrhythmias, atrial fibrillation is the most common rhythm disturbance that may be associated with increased morbidity and mortality. We experienced a case of paroxysmal supraventricular tachycardia with severe hypotension which was escalated from atrial fibrillation during pulmonary bilobectomy for tuberculosis in a 44-year old male patient. Instead of usual electrical cardioversion or common antiarrhythmic agents, we selected phenylephrine bolus injection which induced normal sinus rhythm successfully from paroxysmal supraventricular tachycardia of the patient.
