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Supraventricular tachycardia during spinal anaesthesia for caesarean section
D H Van Zijl1, R A Dyer, R N Millar
1Department of Anaesthesia, Groote Schuur Hospital and the University of Cape Town, South Africa. vanzijl@samiot.uct.ac.za
Abstract:
A woman of 40 weeks' gestation, who was apparently previously healthy, required emergency caesarean section after a failed vacuum delivery. While under spinal anaesthesia she developed a supraventricular tachycardia of unknown origin. Intravenous verapamil resulted in a conversion to sinus rhythm. Further investigations confirmed Wolff-Parkinson-White syndrome, for which she required ablation therapy. Appropriate methods of cardioversion in this clinical setting are discussed.
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