Adenosine treatment of supraventricular tachycardia following epidural test dose: a case study.
This is a case report of supraventricular tachycardia following initiation of epidural analgesia with use of an epinephrine test dose in a parturient during active labor. Vagal stimulatory efforts failed to interrupt the arrhythmia, but treatment with adenosine was successful. Fetal monitoring with a scalp electrode provided evidence of fetal well-being throughout the episode. Adenosine was chosen because of its safety for both the mother and the fetus and its lack of the hypotensive effect often seen with verapamil.
Merson
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D000241:Adenosine / Q000494:pharmacology / Q000627:therapeutic use*; D000328:Adult; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical; D004837:Epinephrine / Q000009:adverse effects*; D005260:Female; D006329:Heart Conduction System / Q000187:drug effects; D006801:Humans; D011247:Pregnancy; D013617:Tachycardia, Supraventricular / Q000139:chemically induced / Q000188:drug therapy*
D000241:Adenosine; D004837:Epinephrine