title: Profound bradycardia with lidocaine during anesthesia induction in a silent sick sinus syndrome patient.
abstract: Sick sinus syndrome is caused by sinus node dysfunction that renders it unable to function as a pacemaker. Patients with sick sinus syndrome are often asymptomatic or have symptoms that are mild and nonspecific. Lidocaine (0.5 mg/kg) injection is used for reduction of pain associated with intravenous injection of propofol. Episodes of marked bradycardia with sinus arrest after prophylactic lidocaine injection are reported in a 69-y-old man with no apparent preoperative cardiac disease or electrocardiographic abnormality. Surgery was postponed, and he was later diagnosed with sick sinus syndrome.
authors.affiliation: Department of Anesthesiology and Pain Medicine, Dongguk University College of Medicine, Ilsandong-gu,Goyang, 410-773, South Korea. pissces@medimail.co.kr
authors.forename: Kyoung Ok
authors.initials: KO
authors.lastname: Kim
authors.forename: Seunghyun
authors.initials: S
authors.lastname: Chung
authors.forename: Kyoungjin
authors.initials: K
authors.lastname: Lee
authors.forename: Hun
authors.initials: H
authors.lastname: Cho
mesh_terms: D000368:Aged; D000758:Anesthesia; D000779:Anesthetics, Local / Q000009:adverse effects*; D001919:Bradycardia / Q000139:chemically induced*; D004562:Electrocardiography; D006801:Humans; D008012:Lidocaine / Q000009:adverse effects*; D008297:Male; D012804:Sick Sinus Syndrome / Q000150:complications*
chemical_list: D000779:Anesthetics, Local; D008012:Lidocaine