KMID : 1148020130380020078
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Á¶¼±´ëÇб³ÀÇ´ë³í¹®Áý 2013 Volume.38 No. 2 p.78 ~ p.80
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Severe Hypotension and Supraventricular Tachycardia during Central Venous Catheterization
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Jung Ki-Tae
Lee Ju-Young Yu Byung-Sik Kim Sang-Hun
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Abstract
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Central venous catheterization can induce cardiac arrhythmias, such as, premature atrial or ventricular complexes, which aretypically transient events. However, sometimes it initiates supraventricular tachycardia (SVT) with hemodynamic repercussions.We present a case of supraventricular tachycardia with cardiovascular collapse during central venous catheterizationin a 32-year-old woman with an ovarian mass who required exploratory laparotomy. At first, the guide wire was withdrawnand carotid sinus massage attempted, but the patient did not return to sinus rhythm. Eventually, reversion to sinus rhythmwas achieved after injecting adenosine.
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KEYWORD
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Arrhythmia, Central venous catheterization, Supraventricular tachycardia
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