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November 22, 2023CureusOpen Access

Supraventricular Tachycardia Associated With Repeat Cesarean Section Under Spinal Anesthesia

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Key result

Carotid sinus massage resolves SVT during cesarean section after beta-blocker failure.

  • n=1

Population

Pregnant patients developing supraventricular tachycardia, specifically associated with repeat cesarean…

Design

Case_report

Authors

MPMihir PatelAngkor Hospital for ChildrenMFMatthias FranzenOhioHealthCHCamille D HawkinsOhioHealth

Discussion

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Implication

May support vagal maneuvers for refractory peripartum SVT; single case leaves open prospective validation.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
A 31-year-old pregnant woman who developed supraventricular tachycardia during a scheduled repeat cesarean section under spinal anesthesia.
I
Intervention
Management of SVT including vagal maneuvers, adenosine, beta-blockers, or electrical cardioversion

SVT is the most common tachyarrhythmia in pregnancy and can be safely managed with vagal maneuvers, adenosine, or electrical cardioversion, while avoiding teratogenic agents like atenolol and verapamil.

Limitations

  • The actual reason for the resolution of the supraventricular tachycardia is difficult to ascertain, as it occurred concurrently with carotid body massage and the delivery of the baby.

Cite This Study

Patel et al. (2023) conducted a case report in Supraventricular tachycardia during cesarean section (n=1). Carotid sinus massage was evaluated on Resolution of supraventricular tachycardia. Carotid sinus massage successfully abated supraventricular tachycardia in a 31-year-old pregnant woman during a repeat cesarean section under spinal anesthesia after beta-blockers failed.

synapsesocial.com/papers/6aa77ac666e682d60a050d67https://doi.org/10.7759/cureus.49256
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1An Observational Study on Arrhythmia During Cesarean Section Under Spinal Anesthesia: Incidence, Risk Factors, and Effects on Immediate Post-delivery Neonatal Outcome2021 · 4 citations
  2. 2Management of acute cardiovascular complications in pregnancy2021 · 52 citations
  3. 3Supraventricular Tachycardia in Pregnancy: Gestational and Labor Differences in Treatment2021 · 16 citations
  4. 4Therapeutic drug monitoring on the use of transplacental digoxin in fetal tachyarrhythmia: a case report2022 · 3 citations
  5. 5An up-to-date review of digoxin toxicity and its management2019 · 6 citations