Vasovagal heart block following cataract surgery under local anesthesia.
Hemodynamic alterations during eye surgery usually consist of sinus bradycardia and hypotension provoked by the oculocardiac reflex. We report a case in which severe sinus bradycardia occurring immediately after the end of surgery was complicated by second-degree atrioventricular block, hypotension, and symptomatic myocardial ischemia.
Hampl
K F
KF
Department of Anesthesia, University of Basel/Kantonsspital, Switzerland.
Marsch
S C
SC
Schneider
M
M
Flammer
J
J
D000368:Aged; D000772:Anesthesia, Local; D001794:Blood Pressure; D002387:Cataract Extraction / Q000009:adverse effects*; D004562:Electrocardiography; D005260:Female; D006327:Heart Block / Q000209:etiology*; D006801:Humans; D017202:Myocardial Ischemia / Q000209:etiology; D009915:Orbit