title: Case of Wenckebach-type atrioventricular block caused by administration of indigo carmine.
abstract: We report a case of first-degree atrioventricular (A-V) block progressing to second-degree (Wenckebach-type) A-V block after administration of indigo carmine in a patient undergoing hysterectomy under general anesthesia. We believe that the onset of Wenckebach-type A-V block may have been induced by one or more of three factors: 1) preoperative first-degree A-V block, 2) the anesthetics used (propofol and remifentanil), and 3) administration of indigo carmine.
authors.affiliation: 1-1 Tatenodai, Hadano, Kanagawa 257-0017, Japan. takeyama@is.icc.u-tokai.ac.jp.
authors.forename: Kazuhide
authors.initials: K
authors.lastname: Takeyama
authors.forename: Reinii
authors.initials: R
authors.lastname: Sakamoto
authors.forename: Masanobu
authors.initials: M
authors.lastname: Yoshikawa
authors.forename: Toshiyasu
authors.initials: T
authors.lastname: Suzuki
mesh_terms: D000328:Adult; D000768:Anesthesia, General; D054537:Atrioventricular Block / Q000139:chemically induced* / Q000175:diagnosis; D004396:Coloring Agents / Q000009:adverse effects*; D018450:Disease Progression; D004562:Electrocardiography; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007203:Indigo Carmine / Q000009:adverse effects*; D007431:Intraoperative Complications / Q000139:chemically induced* / Q000175:diagnosis; D007889:Leiomyoma / Q000601:surgery; D010880:Piperidines / Q000009:adverse effects; D015742:Propofol / Q000009:adverse effects; D000077208:Remifentanil; D014513:Ureter / Q000293:injuries; D014594:Uterine Neoplasms / Q000601:surgery; D014630:Vagus Nerve / Q000503:physiopathology
chemical_list: D004396:Coloring Agents; D010880:Piperidines; D007203:Indigo Carmine; D000077208:Remifentanil; D015742:Propofol