Persistent Complete Atrioventricular Block after Induction of General Anesthesia in a Healthy Patient / 고신대학교의과대학학술지
Kosin Medical Journal
;
: 65-71, 2019.
Artigo
em Inglês
| WPRIM
| ID: wpr-760460
ABSTRACT
A 38-year-old female patient had bradycardia in the preoperative electrocardiogram (ECG), and she showed severe bradycardia, with the heart rate (HR) under 40 beats per minute (bpm) even after arrival in the operating room. Immediately after endotracheal intubation, ventricular tachycardia with HR over 200 bpm occurred, but it disappeared voluntarily. The surgery was postponed for additional cardiac evaluation because of the persistent severe bradycardia. On postanesthesia day 2, complete atrioventricular (AV) block appeared. We expected spontaneous recovery over 2 weeks, but the complete AV block persisted. A permanent pacemaker was eventually inserted, and the patient was discharged without other complications on day 4 after insertion of the pacemaker. We report this case because complete AV block has commonly occurred in patients with risk factors such as first AV block, secondary AV block, or bundle branch block, but complete AV block has occurred despite the absence of arrhythmia in this patient.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Salas Cirúrgicas
/
Arritmias Cardíacas
/
Bradicardia
/
Bloqueio de Ramo
/
Fatores de Risco
/
Taquicardia Ventricular
/
Eletrocardiografia
/
Bloqueio Atrioventricular
/
Frequência Cardíaca
/
Intubação Intratraqueal
Tipo de estudo:
Estudo de etiologia
/
Fatores de risco
Limite:
Adulto
/
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Kosin Medical Journal
Ano de publicação:
2019
Tipo de documento:
Artigo
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