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ISSN : 1225-0082(Print)
ISSN : 2288-1905(Online)
The Medical Journal of Chosun University Vol.38 No.2 pp.78-80

Severe Hypotension and Supraventricular Tachycardia during Central Venous Catheterization

Sang Hun Kim*, Ki Tae Jung, Ju Young Lee, Byung Sik Yu
Department of Anesthesiology and Pain Medicine, School of Medicine, Chosun University
(Received April 23, 2013; Accepted June 25, 2013)


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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