Korean J Anesthesiol.  2009 Feb;56(2):230-235. 10.4097/kjae.2009.56.2.230.

Cardiopulmonary arrest due to sick sinus syndrome: A case report

• Kim SS
• Suh MK
• Jung I

• KMID: 2299325
• DOI: http://doi.org/10.4097/kjae.2009.56.2.230

Abstract

Sick sinus syndrome (SSS) is an abnormality of sinus nodal impulse formation by intrinsic or extrinsic causes. Patients with SSS often are asymptomatic, or have mild or nonspecific symptoms, including dizziness, palpitations, fatigue, and confusion related to the decreased cardiac output. SSS can rarely cause conditions like syncope, congestive heart failure, thromboembolism, pulmonary edema, cardiac arrest, or sudden death. We report here on a severe bradycardia during general anesthesia for aneurysmal clipping and tachycardia-bradycardia syndrome followed by cardiac arrest postoperatively in the ICU, which was subsequently diagnosed as SSS with 24-hour Holter monitoring.

Keyword

Bradycardia; Cardiac arrest; Sick sinus syndrome

MeSH Terms

Anesthesia, General
Aneurysm
Bradycardia
Cardiac Output
Death, Sudden
Dizziness
Edema, Cardiac
Electrocardiography, Ambulatory
Fatigue
Heart Arrest
Heart Failure
Humans
Pulmonary Embolism
Sick Sinus Syndrome
Syncope