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Oculocardiac reflex: an unusual trigger during dental surgery

Arora V, Lee A

The oculocardiac reflex is a trigeminal-vagal reflex that manifests as cardiac arrythmias, most often bradycardia. The reflex can be triggered by manipulation of periorbital structures and unintended pressure on the...
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The effect of beta-blockers in acute heart failure according to heart rate

Kim HJ, Jo SH, Lee MH, Seo WW, Choi JO, Ryu KH

Background/Aims: Beta-blockers (BBs) have been shown to improve clinical outcomes in heart failure (HF) patients. We evaluated the prescribing status of BBs in patients with HF with reduced ejection fraction...
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Risk factors associated with hypotensive bradycardic events during open shoulder surgery in the beach chair position

Choi JW, Kim DK, Jeong HJ, Kim YR, Chung YJ, Son YH

Background Shoulder surgery in the beach chair position frequently causes hypotensive bradycardic events (HBEs), which are potentially associated with an increased risk of cerebral hypoperfusion. Here, we aimed to investigate the...
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Suspected bradycardia due to interactions between HIV protease inhibitors and lidocaine: a case report

Hamaya E, Kamekura N, Fujisawa T

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Anesthesia-Related Neurally Mediated Syncope in the Perioperative Period: Two Case Reports

Shim JH, Park HJ, Lee CW, Park SH, Hwang YH, Shin WJ, Jeon WJ

The following report describes the occurrence of severe hypotension and bradycardia in a healthy 50-year-old man following placement from supine to the beach chair position during general anesthesia for injured...
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Retrospective analysis of risk factors of hypotensive bradycardic events during shoulder arthroscopic surgery under interscalene blockade in the sitting position

Ryu T, Kim BJ, Woo SJ, Lee SY, Lim JA, Kwak SG, Roh WS

Background: Hypotensive bradycardic events (HBEs) are a frequent adverse event in patients who underwent shoulder arthroscopic surgery under interscalene block (ISB) in the sitting position. This retrospective study was conducted...
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Sugammadex associated profound bradycardia and sustained hypotension in patient with the slow recovery of neuromuscular blockade: A case report

Choi YJ, Park JW, Kim SH, Jung KT

BACKGROUND: New complications associated with sugammadex have been increased since its widespread use. We report a case of an 80-year-old male who experienced profound bradycardia and sustained hypotension after administration...
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Trigeminocardiac reflex: sudden severe bradycardia during open reduction for temporomandibular joint dislocation: A case report

Kim Y, Ko Y, Hong B, Shin Y, Noh C, Lee S, Hong S

BACKGROUND: The trigeminocardiac reflex (TCR), which occurs after stimulation of the territory of the trigeminal nerve, is very rarely reported to be caused by stimulation of the mandibular branch. We...
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A Case of an Infant Diagnosed with Cow's Milk Allergy and Concurrent Meat Allergy via ImmunoCAP ISAC®

Jo SY, Lee CH, Kim SW, Hwang YH

Approximately 13–20% of infants with milk allergies concurrently exhibit beef allergies. Here, we report a 24-month-old infant who exhibited both pork and beef allergies, concurrently with a milk allergy. The...
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Persistent Complete Atrioventricular Block after Induction of General Anesthesia in a Healthy Patient

Byeon GJ, Kim HJ, Ri HS, Lee SS, Kim HY

A 38-year-old female patient had bradycardia in the preoperative electrocardiogram (ECG), and she showed severe bradycardia, with the heart rate (HR) under 40 beats per minute (bpm) even after arrival...
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The potential risks of sugammadex

Lee W

Sugammadex provides fast and safe recovery from neuromuscular blockade without causing major adverse effects, and its clinical use is increasing. However, there are some reports on the potential risks of...
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Severe Sinus Bradycardia Requiring Cardiac Pacing in a Lupus Patient Who Was Successfully Treated Using Methylprednisolone Pulse Therapy

Lee J, Ahn HS, Yoon CH

Symptomatic sinus bradycardia in adults with systemic lupus erythematosus (SLE) is rare. Here, we report a case of severe sinus bradycardia requiring temporary cardiac pacing in a SLE patient successfully...
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Fluid loading during spinal anesthesia can reduce bradycardia after intravenous dexmedetomidine infusion

Lee W, Han Y, Lim SH, Moon SH, Cho K, Kim MH

BACKGROUND: Dexmedetomidine has been widely used during spinal anesthesia to provide sedation. However, dexmedetomidine frequently causes significant bradycardia. This study was designed to evaluate whether fluid loading could reduce the...
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Clinical Outcomes of Minimally Invasive Surfactant Therapy via Tracheal Catheterization in Neonates with a Gestational Age of 30 Weeks or More Diagnosed with Respiratory Distress Syndrome

Seo MY, Shim GH, Chey MJ

PURPOSE: Minimally invasive surfactant therapy (MIST) is currently used as a method of surfactant replacement therapy (SRT) for the treatment of respiratory distress syndrome (RDS) in preterm infants with a...
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Sudden Bispectral Index Reduction and Suppression Ratio Increase Associated with Bradycardia in a Patient Undergoing Breast Conserving Surgery

Jo Y, Kim JM, Jeon SB, Park SU, Kam HJ, Shim WH, Kim SH

BACKGROUND: The bispectral index (BIS) is a valuable indicator for measuring sedation levels and patient consciousness. Recent reports have highlighted its clinical value as an indicator for anesthesia-related cerebral hypoperfusion...
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Prolonged reflex bradycardia after occlusion of patent ductus arteriosus with an Amplatz canine duct occluder in a dog

Ro WB, Kang MH, Lee CM, Kim SG, Park HM

A 9-month-old intact male Maltese dog (1.52 kg) was diagnosed with a patent ductus arteriosus (PDA). Transcatheter occlusion of the PDA was performed by using the Amplatz canine duct occluder...
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Hemodynamic Depression of Early Carotid Revascularization on Ischemic Stroke Patients with Symptomatic Carotid Stenosis

Kim JW, Do Y

BACKGROUND: Carotid revascularization is frequently complicated by hemodynamic depression (HD), which can increase the risk of stroke or vascular death. However, no studies yet exist describing the correlation between the...
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Atropine-induced atrial bigeminy during general anesthesia in a Cocker Spaniel dog

Suh SI, Kim SE, Choi R, Hyun C

A 12-year-old female Cocker Spaniel (7.5 kg of body weight) was presented for resection of a mammary gland tumor. During surgery, the heart rate was remarkably decreased due to a...
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A Case of Paroxysmal Atrial Fibrillation and Sinus Bradycardia due to Coronary Artery Spasm

Bae KN, Hwang BH, Lee KY, Jung SM

Paroxysmal atrial fibrillation may be induced by coronary spasm presenting with typical angina-like pain and palpitations. It is typically treated using rate or rhythm control strategies, although sustained coronary spasm...
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Massive pericardial effusion and short stature caused by autoimmune hypothyroidism in a 9-year-old girl

Gyon YH, Han HS

A 9-year-, 11-month-old girl was brought to the Emergency Department for sudden dyspnea caused by massive pericardial effusion. In addition to relative bradycardia despite impending cardiac tamponade, short stature, overweight,...
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