Sonia Mishra1, Ajay Mishra2 and Jagdish P Mishra3*
1Thomas Jefferson University, Philadelphia, PA 19107, USA
2Georgetown University, Washington, DC 20057, USA
3Rochester General Health, United Memorial Medical Center, Batavia, NY 14020, USA
Received: 08 April, 2017; Accepted: 25 April, 2017; Published: 26 April, 2017
Jagdish P Mishra, Rochester General Health, United Memorial Medical Center, Batavia, NY 14020, USA, E-mail:
Sonia M, Ajay M, Jagdish MP (2017) Supraventricular Tachycardia: From Catheter to Catheter Ablation. J Cardiovasc Med Cardiol 4(2): 017-019. 10.17352/2455-2976.000041
© 2017 Sonia M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
I had a privilege of having a really attentive and good medical student rotating through my cardiology office for a month. One day I explained to her in greater details that in spite of all the tests, devices and everything else, the patient history is still the MOST important aspect of overall medical evaluation of a patient. With this advice, I sent her to go to see a patient of mine admitted to the hospital with palpitations.
After taking a ‘thorough’ history, physical examination, she presented the case to me and discussed the differential diagnosis of palpitations and plan of action for the management.
A 56-year-old lady recently diagnosed with stage II breast carcinoma had undergone surgical resection of her breast mass along with some lymph nodes removal. After the surgery, she was advised to undergo a chemotherapy protocol for her ongoing treatment. Two weeks ago, she had completed a course of chemotherapy and thereafter she was on the way to her oncologist’s office for follow-up when she started to feel short of breath and palpitations. Symptoms were getting worse and therefore she was advised to go to the local emergency room where she was diagnosed with a supraventricular tachycardia (SVT) (Figure 1,2).
- Altman LK (1987) Who Goes First: The story of self-experimentation in medicine. Link: https://goo.gl/idRsaH
- Ducatman BS, McMichan JC, Edwards, WD (1985) Catheter-induced lesions of the right side of the heart: one-year prospective study of 141 autopsies. JAMA 253: 791-795. Link: https://goo.gl/sy9hNx
- Kung SC, Aravind B, Morse S, Larry E Jacobs, Rasib Raja (2001) Tunneled catheter associated atrial thrombi: successful treatment with chronic anticoagulation. Hemodial Int 5: 32-36. Link: https://goo.gl/x4PcjJ
- Robinson JF, Robinson WA, Cohn A, Garg K, Armstrong JD (1995) Perforation of the great vessels during central line placement. Arch Intern Med 155: 1225-1228. Link: https://goo.gl/9tlqCV
- Kalen V, Medige TA, Rinsky LA (1991) Pericardial tamponade secondary to perforation by central venous catheters in orthopedic patients. J Bone Joint Surg Am 73: 1503-1506. Link: https://goo.gl/oCjBrf
- Stuart RK, Shikora SA, Akerman P, Lowell JA, Baxter JK, et al. (1990) Incidence of arrhythmia with central venous catheter insertion and exchange. JPEN J Parenter Enteral Nutr 14: 152-155. Link: https://goo.gl/lVHD9d
- Smith SL, Albin MS, Ritter RR, Bunegin L (1984) Catheter placement from antecubital veins using a J-wire catheter guide. Anesthesiology 60: 238-240. Link: https://goo.gl/tlZXAm
- McDowell DE, MOss AH, Vasilakis C, Bell R, Pillai L (1993) Percutaneously placed dual-lumen silicone catheters for long-term hemodialysis. AmvJ Surg 59: 568-573. Link: https://goo.gl/Fv86Mj
- Verdino RJ, Pacifico DS, Tracy CM (1996) SVT precipitated by a peripherally inserted central catheter. Journal of Electrocardiology 29: 69-72. Link:
- Amer A, Broadbent RS, Edmunds L, Benjamin JW (2016) Central venous catheter-related tachycardia in the newborn. Case Reports in Medicine 2016: 4. Link: https://goo.gl/KaD5xg
- Food and Drug Administration (1989) Precautions necessary with central venous catheters. FDA Task Force. FDA Drug Bulletin 19: 15-16. Link: https://goo.gl/oVFcAZ
- Oncology Nursing Society (1996) Access Device Guidelines: Recommendations for Nursing Practice and Education. Pittsburgh, PA: Oncology Nursing Press. Link: https://goo.gl/4R9CIj
- National Association of Vascular Access Networks (1998) NAVAN position statement. J Vasc Access Devices 3: 8-10.
- Infusion Nurses Society (2000) Standards of practice. J Intrav Nurs 23: 6S. Link: https://goo.gl/Thm1on
- Silberzweig JE, Sacks D, Khorsandi AS, Bakal CW (2000) Reporting standards for central venous access. J Vasc Interv Radiol 11: 391-400. Link: https://goo.gl/YSLF5o
- ACLS 2017 Guidelines; AHA 2015 ACLS Recommendations, Circulation 2015