Sprung C L, Jacobs L J, Caralis P V, Karpf M
Chest. 1981 Apr;79(4):413-5. doi: 10.1378/chest.79.4.413.
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.
测定了在危重症患者使用血流导向球囊漂浮导管进行床旁右侧心导管插入术期间室性心律失常的发生率。60次导管插入术中，有29次（48%）与室性早搏有关，20次（33%）与室性心动过速有关。两名患者需要抗心律失常治疗或胸前区捶击以转复室性心动过速。一名患者发生室性心动过速和心室颤动并死亡。在危重症患者的 Swan-Ganz 导管插入术期间，可能会发生严重的导管诱发的心律失常，包括持续性室性心动过速。
