[Preoperative evaluation and anesthetic management of a patient with Brugada syndrome-like ECG].
Brugada syndrome has been known as one of the causes of sudden death due to ventricular fibrillation. We experienced anesthetic management of seven patients with ECG showing Brugada syndrome before surgery, even though they had no symptoms nor family history. All of them showed no problems through-out the operation. Such patients are often untreated, but they have the risks of cardiac accidents such as ventricular fibrillation or sudden death. For preoperative evaluation of patients with Brugada syndrome-like ECG, it is important to ask them their experience of syncope and family history. Ultrasonic cardiography and Holter ECG recording should be done. External defibrillator should be prepared and parasympathetic dominant condition must be avoided during the anesthetic management.
Kohda
Kenichirou
K
Department of Anesthesiology, Toho University, Sakura Medical Center, Sakura 285-8741.
Sugano
Takayuki
T
Shibama
Sayaka
S
Harada
Masaki
M
Satoh
Yasuo
Y
Ide
Yasuo
Y
Tagami
Megumi
M
D000328:Adult; D000368:Aged; D000768:Anesthesia, General; D000775:Anesthesia, Spinal; D053840:Brugada Syndrome / Q000175:diagnosis*; D047548:Defibrillators; D004452:Echocardiography; D004562:Electrocardiography; D015716:Electrocardiography, Ambulatory; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D019990:Perioperative Care; D013514:Surgical Procedures, Operative