Complete heart block induced by general anesthesia in a patient with suspected conduction system defect: a case report.
We report a rare incident of complete heart block occurring after induction of general anesthesia in an apparently fit patient. An external temporary pacemarker was first applied, which was then replaced by isoproterenol infusion, but permanent pacing was required postoperatively. The role of anesthesia as a precipitating factor was discussed. It is suggested that surgical patients suspicious of conduction system defect should be under continuous hemodynamic monitoring with temporary pacing at hand during perioperative period.
Jong
H R
HR
Department of Anesthesiology, Veterans General Hospital-Taipei, Taiwan, R.O.C.
Lui
P W
PW
Poon
K S
KS
Lee
T Y
TY
D000768:Anesthesia, General / Q000009:adverse effects*; D006327:Heart Block / Q000209:etiology*; D006329:Heart Conduction System / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic