Key result
Guide wire insertion during central venous cannulation triggered an episode of reciprocating tachycardia in a patient with Wolff-Parkinson-White syndrome.
Guide wire insertion during central venous cannulation can trigger reciprocating tachycardia in patients with Wolff-Parkinson-White syndrome.
Hypothesis-generating for arrhythmia risk during central venous access in WPW; prospective studies needed to assess incidence.
Wolff-Parkinson-White syndrome is important for the anesthesiologist because the sudden development of tachyarrhythmias may result in deleterious hemodynamic changes. We describe an episode of reciprocating tachycardia triggered by the insertion of the guide wire during central venous cannulation in a patient with this syndrome.
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Diz et al. (2000) studied this question. Guide wire insertion during central venous cannulation triggered an episode of reciprocating tachycardia in a patient with Wolff-Parkinson-White syndrome.
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