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Anaesthetic considerations in patients with paroxysmal supraventricular tachycardia
Author(s) -
JONES R. M.,
BROADBENT M. P.,
ADAMS A. P.
Publication year - 1984
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1984.tb07268.x
Subject(s) - medicine , paroxysmal supraventricular tachycardia , context (archaeology) , supraventricular tachycardia , cardiology , tachycardia , cardiac pacing , anesthesia , heart disease , paleontology , biology
Summary 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.