The anaesthetic management of a parturient with polymorphic catecholamine-sensitive ventricular tachycardia

被引:15
作者
Chan, TML [1 ]
Dob, DP [1 ]
机构
[1] Chelsea & Westminster Hosp, Magill Dept Anaesthesia, London SW10 9NH, England
关键词
D O I
10.1054/ijoa.2002.0942
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Polymorphic catecholamine-sensitive ventricular tachycardia is an uncommon but potentially life-threatening condition. There are few reports of this condition in pregnancy. It is one of five types of polymorphic ventricular arrhythmia, the others being long-QT syndrome, short coupled variant of torsade de point malignant disease, idiopathic ventricular fibrillation with normal ECG and Brugada syndrome. Exercise and stress can precipitate ventricular tachyarrhythmias in patients with polymorphic catecholamine-sensitive ventricular tachycardia and it is important to avoid increases in plasma catecholamine levels. We report on the anaesthetic management of a parturient with this condition, for elective caesarean section and discuss the stress response in parturients receiving regional and general anaesthesia. (C) 2002 Elsevier Science Ltd. All rights reserved.
引用
收藏
页码:122 / 124
页数:3
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