Unexpected Intermittent Preexcitation Syndrome (WPW Type) in Patient with Ventricular Parasystole during General Anesthesia: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 1143-1148, 1999.
Artigo
em Coreano
| WPRIM
| ID: wpr-55491
ABSTRACT
We report a case in which WPW (Wolff-Parkinson-White)-type preexcitation syndrome arose unexpectedly immediately after induction of general anesthesia on a 25-yr-old man who had another rare cardiac arrhythmia, parasystole. His preoperative ECG showed ventricular bigeminy and a delta wave was observed after induction of anesthesia with fentanyl, midazolam and propofol. Anesthesia was maintained with propofol, fentanyl and nitrous oxide. The intraoperative ECG showed varying and temporary responsiveness to drugs such as atropine, lidocaine and ephedrine. After we started to infuse the dobutamine, the delta wave, ventricular bigeminy disappeared on the intraoperative ECG. We should consider the influence of anesthesia-related agents on arrhythmia, and aim to prevent and manage tachyarrhythmias caused by this syndrome.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Arritmias Cardíacas
/
Atropina
/
Taquicardia
/
Síndrome de Wolff-Parkinson-White
/
Midazolam
/
Síndromes de Pré-Excitação
/
Propofol
/
Fentanila
/
Parassístole
/
Dobutamina
Limite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
1999
Tipo de documento:
Artigo
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