Intra-operative Arrhythmias: Sick Sinus Syndrome Manifested During General Anesthesia
Keywords:
Arrhythmias, cardiac, anesthesia, sick sinus syndrome, tachycardia
Abstract
Arrhythmias are a frequent occurrence in the daily practice of anesthesia and there are several factors implicated, including the drugs used for induction and maintenance of anesthesia. A case is presented of a 38-year old male patient, previously healthy, who developed a sick sinus syndrome manifested in the form of an accelerated nodal rhythm during general anesthesia, which reverted to sinus rhythm without requiring specific management. This condition is associated with multiple etiologies and its electrocardiographic manifestations may be diverse. It is important to recognize intra-operative arrhythmias, identify their possible causes, and treat them when necessary.
References
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11. Hirata A, Kitagawa H, Komoda Y, et al. Sick sinus syndrome discovered after induction of general anesthesia in a patient with normal preoperative Holter ECG. Masui. 1994;43:1048-52.
12. Nakamura S, Nishiyama T, Hanaoka K. General anesthesia for a patient with asymptomatic sick sinus syndrome. Masui. 2005;54:912-3.
13. Gregoratos G, Cheitlin MD, Conill A, et al. ACC/AHA guidelines for implantation of cardiac pacemakers and antiarrhythmia devices: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Pacemaker Implantation). J Am Coll Cardiol 1998;31:1175-209.
2. Almendral Garrote J, Navia Roque J, Zeballos García M. Manejo perioperatorio de las arritmias cardiacas (Parte II). Rev Esp Anestesiol Reanim. 2006;53:1 63-83.
3. Galindo M. Arritmias perioperatorias diagnóstico y manejo. Rev. Col. Anest. 1989;17:367-76. 4. Atlee JL 3rd, Bosnjak ZJ. Mechanisms for cardiac dysrhythmias during anesthesia. Anesthesiology. 1990;72:347-74.
5. Kuner J, Enescu V, Utsu F, et al. Cardiac arrhythmias during anesthesia. Dis Chest. 1967;52:580-7.
6. Mizuno J, Morita S, Kamiya K, et al. Isorhythmic dissociation during sevoflurane anesthesia. Masui. 2009;58:645-8.
7. Kweon TD, Nam SB, Chang CH, et al. The effect of bolus administration of remifentanil on QTc interval during induction of sevoflurane anaesthesia. Anaesthesia. 2008;63:347-51.
8. Adán V, Crown LA. Diagnosis and treatment of sick sinus syndrome. Am Fam Physician. 2003;67: 1725-32.
9. Pratila MG, Pratilas V. Sick-sinus syndrome manifested during anesthesia. Anesthesiology. 1976;44: 433-6.
10. Bogran A. Ritmo nodal con onda P positiva. Rev Med Hondur. 1975;43:227-30.
11. Hirata A, Kitagawa H, Komoda Y, et al. Sick sinus syndrome discovered after induction of general anesthesia in a patient with normal preoperative Holter ECG. Masui. 1994;43:1048-52.
12. Nakamura S, Nishiyama T, Hanaoka K. General anesthesia for a patient with asymptomatic sick sinus syndrome. Masui. 2005;54:912-3.
13. Gregoratos G, Cheitlin MD, Conill A, et al. ACC/AHA guidelines for implantation of cardiac pacemakers and antiarrhythmia devices: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Pacemaker Implantation). J Am Coll Cardiol 1998;31:1175-209.
How to Cite
1.
Bocanegra Rivera JC, Caicedo Salazar J. Intra-operative Arrhythmias: Sick Sinus Syndrome Manifested During General Anesthesia. Colomb. J. Anesthesiol. [Internet]. 2011 Apr. 1 [cited 2024 Apr. 26];39(2):259-65. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/759
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Published
2011-04-01
How to Cite
1.
Bocanegra Rivera JC, Caicedo Salazar J. Intra-operative Arrhythmias: Sick Sinus Syndrome Manifested During General Anesthesia. Colomb. J. Anesthesiol. [Internet]. 2011 Apr. 1 [cited 2024 Apr. 26];39(2):259-65. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/759
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Section
Case Report / Case Series
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