Paroxysmal supraventricular tachycardia during cesarean section under spinal anesthesia: A case report

Jee, Young Seok; Kim, Soo Mi; Yoon, Hea Jo; Cho, Hong Jei; Son, Ju hyung

Case Report

Obstetric Anesthesia

Anesthesia and Pain Medicine 2011;6(4):389-392.
Published online October 31, 2011.

Paroxysmal supraventricular tachycardia during cesarean section under spinal anesthesia: A case report

Young Seok Jee, Soo Mi Kim, Hea Jo Yoon, Hong Jei Cho, Ju hyung Son

Department of Anesthesiology and Pain Medicine, Cheil General Hospital and Women Healthcare Center, Kwandong University College of Medicine, Seoul, Korea. soo1215@yahoo.co.kr

Abstract

We experienced a case of paroxysmal supraventricular tarchycardia (PSVT) in a 31-year-old pregnant woman undergoing elective cesarean section under spinal anesthesia. About 15 minutes after delivery of the baby, PSVT suddenly developed. PSVT was difficult to control with a number of medications including esmolol, adenosine and verapamil. Normal sinus rhythm was finally restored after repeated trials of biphasic cardioversion. The patient fully recovered and was discharged without any complication 5 days later.

Key Words: Cardioversion, Cesarean section, Paroxysmal supraventricular tarchycardia