[Sudden cardiac arrest after induction of general anesthesia: a case report].
We experienced sudden cardiac arrest after induction of general anesthesia using isoflurane. The patient had had paroxysmal atrial fibrillation for one year and had been treated with digoxin and cibenzoline succinate. Sinus rhythm appeared soon after the start of closed chest compression. However cardiac arrest recurred, and we inserted a temporary pacemaker catheter to stabilize the circulatory status. She awoke from anesthesia without any complications. The diagnosis of sick sinus syndrome (SSS) was made postoperatively and she had a permanent pacemaker implanted. We thought that the hidden SSS had been the cause of this sudden cardiac arrest.
Kabutan
K
K
Department of Anesthesiology, National Okayama Hospital.
Mishima
M
M
Takehisa
S
S
Morimoto
N
N
Taniguchi
M
M
D000368:Aged; D000768:Anesthesia, General / Q000009:adverse effects*; D018685:Anesthetics, Inhalation / Q000009:adverse effects; D000889:Anti-Arrhythmia Agents / Q000009:adverse effects; D001281:Atrial Fibrillation / Q000150:complications / Q000188:drug therapy; D001943:Breast Neoplasms / Q000601:surgery; D004077:Digoxin / Q000009:adverse effects; D005260:Female; D006323:Heart Arrest / Q000209:etiology*; D006801:Humans; D007093:Imidazoles / Q000009:adverse effects; D007530:Isoflurane / Q000009:adverse effects; D008408:Mastectomy; D010138:Pacemaker, Artificial; D012804:Sick Sinus Syndrome / Q000139:chemically induced / Q000628:therapy
D018685:Anesthetics, Inhalation; D000889:Anti-Arrhythmia Agents; D007093:Imidazoles; D004077:Digoxin; D007530:Isoflurane; C032151:cifenline