Stickles B J
J Nurse Midwifery. 1993 Jan-Feb;38(1):42-4. doi: 10.1016/0091-2182(93)90125-z.
During pregnancy, stress and vigorous exercise often result in pronounced tachycardia. Generally, a vagal stimulatory effort will interrupt the episode; however, intrapartum supraventricular tachycardia may not respond to vagal stimulation, necessitating drug therapy. This article is a case report of idiosyncratic supraventricular tachycardia following initiation of epidural analgesia; use of epinephrine was part of the test dose protocol. Adenosine, chosen for the lack of hypotensive effect associated with verapamil, was administered intravenously with immediate results. Fetal monitoring via scalp electrode provided evidence of fetal well-being during and after the episode.
孕期，压力和剧烈运动常导致明显的心动过速。一般来说，迷走神经刺激措施会中断发作；然而，产时室上性心动过速可能对迷走神经刺激无反应，需要药物治疗。本文是一例硬膜外镇痛开始后发生特发性室上性心动过速的病例报告；肾上腺素的使用是试验剂量方案的一部分。因腺苷缺乏与维拉帕米相关的降压作用而选用，静脉注射后立即见效。通过头皮电极进行胎儿监测，在发作期间及发作后均提供了胎儿状况良好的证据。
