This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Peter J. Mariani, MD; Bradford K. Mitchell, MD
State University of New York Health Science Center Syracuse

JAMA. 1990;263(24):3258-3259.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

A 20-year-old gravida 1, para 0 woman in her sixth month of an uncomplicated pregnancy presented to the emergency department 1 hour after being awakened by rapid, regular palpitations. There were no associated symptoms. Approximately 1 year previously, she had experienced a similar episode, which terminated spontaneously after 2 minutes and did not compel her to seek medical attention. Further investigation of medical history and review of systems revealed no predisposition to tachyarrhythmia other than her taking oral theophylline and inhaled metaproterenol for asthma.

Initial vital signs were as follows: blood pressure, 104/80 mm Hg; pulse rate, 178 beats per minute; respirations, 22/min; and temperature, 37.1°C. With the exception of mild apprehension and a rapid, regular heartbeat and pulse, the results of the physical examination were those of a normal pregnant woman. An intravenous line was started. Cardiac monitoring and an electrocardiogram revealed supraventricular tachycardia at a . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?