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“Perioperative management of a case of accelerated idioventricular rhythm posted for caesarean section “

Journal Name:

  • Indian Journal of Basic & Applied Medical Research

Publication Year:

  • 2013

Key Words:

Author NameUniversity of Author
Abstract (2. Language): 
Premature ventricular contractions (PVCs) do not necessarily trigger ventricular tachycardias or ventricular fibrillations unless are associated with structural heart disease. Accelerated idioventricular rhythm (AIVR) may merely indicate other treatable conditions such as hypokalemia, hypomagnesemia, hypoxia, hypothyroidism, or overdose of medications such as digoxin, aminophylline, ephedrine, alcohol, caffeine. It must be emphasized that if the work up for underlying heart disease is unrevealing, the patients can be assured that their prognosis is excellent. The anaesthesiologist managing a case of AIVR posted for LSCS may avoid the use of medications (antiarrhythmics, diuretics, nitrates, anticoagulants) hazardous to the foetus; until the symptoms of heart failure appear. Here, we report a case of subclinical hypothyroidism which presented as AIVR. High index of suspicion for hypothyroidism lead us to accept the challenge of avoiding use of medications and vigorous therapeutic intervention; which resulted into satisfactory fetomaternal outcome.
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  • 6
585-590
  • English

REFERENCES

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590
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