Korean J Anesthesiol.
2013 Apr;64(4):363-366. 10.4097/kjae.2013.64.4.363.
Complete atrioventricular nodal block after propofol administration in an elderly patient undergoing total knee replacement arthroplasty: A case report
- Affiliations
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- 1Department of Anesthesiology and Pain Medicine, Soonchunhyang University, Bucheon Hospital, Bucheon, Korea. anpjuno@schmc.ac.kr
- 2Department of Anesthesiology and Pain Medicine, Soonchunhyang University, Gumi Hospital, Gumi, Korea.
- KMID: 2299376
- DOI: http://doi.org/10.4097/kjae.2013.64.4.363
Abstract
- Complete atrioventricular (AV) block is defined as a dissociation of atrial and ventricular activities. Complete AV block that occurs during the perioperative period is difficult to reverse and usually requires implantation of a pacemaker. Propofol does not affect a normal AV conduction system but may act as a trigger for AV block. It can also potentiate vagal stimulation factors and reduce sympathetic activity. We report a case of complete AV block that may have been related to administration of propofol.
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Cited by 1 articles
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Persistent Complete Atrioventricular Block after Induction of General Anesthesia in a Healthy Patient
Gyeong-Jo Byeon, Hye-Jin Kim, Hyun-Su Ri, Su Sung Lee, Hee Young Kim
Kosin Med J. 2019;34(1):65-71. doi: 10.7180/kmj.2019.34.1.65.
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