title: Unexpected Complete Heart Block and Anesthetic Implications.
abstract: A healthy, active duty military 25-year-old female with a history of congenital complete heart block presented for a routine septorhinoplasty. During the preoperative interview, she did not disclose her heart condition. A preordered electrocardiogram was not available. During induction of anesthesia, she became extremely bradycardic, approaching asystole, requiring resuscitation. This case highlights the potential anesthetic risks in individuals with a history of congenital heart rhythm disease.
authors.affiliation: From the Anesthesia Department, Naval Hospital, Yokosuka, Japan.
authors.forename: Arturo G
authors.initials: AG
authors.lastname: Torres
mesh_terms: D000328:Adult; D000777:Anesthetics / Q000009:adverse effects*; D054537:Atrioventricular Block / Q000209:etiology; D001919:Bradycardia / Q000209:etiology*; D004562:Electrocardiography; D005260:Female; D006327:Heart Block / Q000150:complications / Q000151:congenital*; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology; D012225:Rhinoplasty
chemical_list: D000777:Anesthetics