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Chest, Vol 79, 413-415, Copyright © 1981 by American College of Chest Physicians

ARTICLES

Ventricular arrhythmias during Swan-Ganz catheterization of the critically ill

CL Sprung, LJ Jacobs, PV Caralis and M Karpf

The incidence of ventricular arrhythmias in critically-ill patients during bedside right-sided heart catheterization with a flow-directed balloon-tipped catheter was determined. Twenty-nine of 60 catheterizations (48 percent) were associated with premature ventricular contractions and 20 (33 percent) were associated with ventricular tachycardia. Two patients required antiarrhythmic therapy or a precordial thump to convert ventricular tachycardia. One patient developed ventricular tachycardia and fibrillation and died. Serious catheter-induced arrhythmias, including sustained ventricular tachycardia, may occur during Swan-Ganz catheterization of the critically ill.


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A. R. Abreu, M. A. Campos, and B. P. Krieger
Pulmonary Artery Rupture Induced by a Pulmonary Artery Catheter: A Case Report and Review of the Literature
J Intensive Care Med, September 1, 2004; 19(5): 291 - 296.
[Abstract] [PDF]


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Copyright © 1981 by the American College of Chest Physicians.