Korean J Crit Care Med.  2006 Jun;21(1):57-62.

Pharmacological Cardioversion with Phenylephrine for Paroxysmal Supraventricular Tachycardia during Lung Resection Surgery: A Case Report

• Kim HJ
• Lee SK
• Kim YM
• Moon HS

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.

Keyword

Arrhythmias; Paroxysmal supraventricular tachycardia; Phenylephrine

MeSH Terms

Adult
Arrhythmias, Cardiac
Atrial Fibrillation
Electric Countershock*
Humans
Hypotension
Lung*
Male
Mortality
Phenylephrine*
Risk Factors
Tachycardia, Supraventricular*
Thoracotomy
Tuberculosis
Phenylephrine