Korean J Anesthesiol.  2005 Dec;49(6):879-882. 10.4097/kjae.2005.49.6.879.

Anesthetic Management of a Patient with Brugada Syndrome: A case report

• Lee JY
• Lee HC
• Park YJ
• Jung MH
• Choi YR
• Won RS

• KMID: 1894332
• DOI: http://doi.org/10.4097/kjae.2005.49.6.879

Abstract

Brugada syndrome is characterized by a distinctive electrocardiographic pattern (right bundle branch block and a ST segment elevation in the right precordial leads), but without structural heart disease. It is a rare genetic disorder, with an autosomal dominant inheritance pattern. Many factors during general anesthesia (medication, bradycardia, temperature changes) can precipitate malignant dysrhythmia in this patient, so careful choice of anesthetics is required. We experienced the anesthetic management of a 50-year-old male patient with Brugada syndrome, who underwent an emergency operation, under general anesthesia for acute appendicitis. Surgery was performed uneventfully, and the patient was discharged without complication.

Keyword

Brugada syndrome; malignant dysrhythmia

MeSH Terms

Anesthesia, General
Anesthetics
Appendicitis
Bradycardia
Brugada Syndrome*
Bundle-Branch Block
Electrocardiography
Emergencies
Heart Diseases
Humans
Inheritance Patterns
Male
Middle Aged
Anesthetics