Tachycardia-bradycardia syndrome in a patient with atrial fibrillation: a case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 415-419, 2015.
Article
Dans Anglais
| WPRIM
| ID: wpr-11197
ABSTRACT
An 83-year-old woman was scheduled for a second transurethral resection of a bladder tumor. The preoperative electrocardiogram evaluation revealed atrial fibrillation with a slow ventricular response (ventricular rate 59 /min). After intravenous injection of 1% lidocaine 40 mg and propofol 60 mg, the ventricular rate increased to 113 beats/min and then fell rapidly to 27 beats/min. Blood pressure was 70/40 mmHg. Later an atrial fibrillation rhythm, with a ventricular rate of 100-130 beats/min, was observed together with a sinus pause and sinus rhythm with a ventricular rate of 40-50 beats/min. An external pacemaker was applied and set at 60 mA, 40 counts. After the patient regained consciousness, she presented an alert mental state and had no chest symptoms. She was discharged 2 weeks later without complications after insertion of a permanent pacemaker.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Fibrillation auriculaire
/
Maladie du sinus
/
Thorax
/
Tumeurs de la vessie urinaire
/
Pression sanguine
/
Propofol
/
Conscience
/
Électrocardiographie
/
Injections veineuses
/
Lidocaïne
Limites du sujet:
Adulte très âgé
/
Aged80
/
Femelle
/
Humains
langue:
Anglais
Texte intégral:
Korean Journal of Anesthesiology
Année:
2015
Type:
Article
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