Background and Methods. A 30-year-old woman with a history of palpitat
ions was admitted for a repeat cesarean delivery at 41 weeks' gestatio
n. Spinal anesthesia was administered. Results. Supraventricular tachy
cardia and hypotension developed in the patient and were treated with
boluses of ephedrine and phenylephrine. Conclusion. Phenylephrine may
be used successfully for the treatment of SVT that results in hypotens
ion under spinal anesthesia, and it may have advantages over ephedrine
.