Jones RM, Broadbent MP, Adams AP. Anaesthetic considerations in patients with paroxysmal supraventricular tachycardia. A review and report of cases.
Anaesthesia 1984;
39:307-13. [PMID:
6711778 DOI:
10.1111/j.1365-2044.1984.tb07268.x]
[Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
Paroxysmal supraventricular tachycardia is a common cardiac dysrhythmia which may or may not be associated with heart disease. The underlying mechanisms in the genesis of this dysrhythmia are alterations in automaticity or re-entry of the cardiac impulse. These mechanisms are reviewed in the context of the stresses of the peri-operative and operative periods. The anaesthetic management of three patients, particularly prone to paroxysmal supraventricular tachycardia, is described based on principles derived from the pathophysiology of re-entrant or ectopic atrial tachydysrhythmias.
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