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2008, Number 1

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Rev Mex Anest 2008; 31 (1)

Brugada syndrome and anesthesia

López-Jiménez FA, Mondragón-Villanueva ME

Language: Spanish
References: 20
Page: 55-62
PDF size: 274.70 Kb.


ABSTRACT

Brugada syndrome is a ion channelopathy (Na+) characterized by right bundle branch block (RBBB) and ST segment elevation in the right precordial leads of the electrocardiogram (ECG) without any apparent structural abnormality in the heart, associate with syncope and sudden death. A 54 years old male with bilateral radicular pain presented for spine surgery. He had no history of syncope or arrhythmia, however, his preoperative ECG showed ST elevation (2 mm) in V2 y V3 and RBBB. After tracheal intubation developed bradychardie and ventricular beats, and further ST elevation 4 mm (0.4 mV), atropine 1 mg was administrated with normalized heart rate and ST segment elevation at ECG baseline, and sinus rhythm was maintained. The patient was admitted to the cardiac intensive care unit for a postoperative period of 48 h.


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