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KMID : 0604020060210010057
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Korean Journal of Critical Care Medicine
2006 Volume.21 No. 1 p.57 ~ p.62
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Pharmacological Cardioversion with Phenylephrine for Paroxysmal Supraventricular Tachycardia during Lung Resection Surgery
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Kim Hyun-Jung
Lee Soo-Kyung
Kim Young-Mi
Moon Hyun-Soo
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Abstract
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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.
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KEYWORD
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Arrhythmias, Paroxysmal supraventricular tachycardia, Phenylephrine
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