심실 부수축기(Ventricular Parasystole)를 가진 환자의 마취 중 발견된 간헐적 조기흥분 증후군 (Preexcitation syndrome) - 증례 보고
We report a case in which WPW (Wolff-Parkinson-White)-type preexcitation syndrome arose unexpectedly immediately after induction of general anesthesia on a 25-yr-old man who had another rare cardiac arrhythmia, parasystole. His preoperative ECG showed ventricular bigeminy and a delta wave was observ...
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Veröffentlicht in: | Korean journal of anesthesiology 1999-12, Vol.37 (6), p.1143 |
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container_title | Korean journal of anesthesiology |
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creator | 전윤석 Yun Seok Jeon 이평복 Pyung Bok Lee 김계민 Kye Min Kim 오용석 Yong Seok Oh 최윤식 Yun Shik Choi |
description | We report a case in which WPW (Wolff-Parkinson-White)-type preexcitation syndrome arose unexpectedly immediately after induction of general anesthesia on a 25-yr-old man who had another rare cardiac arrhythmia, parasystole. His preoperative ECG showed ventricular bigeminy and a delta wave was observed after induction of anesthesia with fentanyl, midazolam and propofol. Anesthesia was maintained with propofol, fentanyl and nitrous oxide. The intraoperative ECG showed varying and temporary responsiveness to drugs such as atropine, lidocaine and ephedrine. After we started to infuse the dobutamine, the delta wave, ventricular bigeminy disappeared on the intraoperative ECG. We should consider the influence of anesthesia-related agents on arrhythmia, and aim to prevent and manage tachyarrhythmias caused by this syndrome. (Korean J Anesthesiol 1999; 37: 1143∼1148) |
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His preoperative ECG showed ventricular bigeminy and a delta wave was observed after induction of anesthesia with fentanyl, midazolam and propofol. Anesthesia was maintained with propofol, fentanyl and nitrous oxide. The intraoperative ECG showed varying and temporary responsiveness to drugs such as atropine, lidocaine and ephedrine. After we started to infuse the dobutamine, the delta wave, ventricular bigeminy disappeared on the intraoperative ECG. We should consider the influence of anesthesia-related agents on arrhythmia, and aim to prevent and manage tachyarrhythmias caused by this syndrome. (Korean J Anesthesiol 1999; 37: 1143∼1148)</description><identifier>ISSN: 2005-6419</identifier><language>kor</language><publisher>대한마취통증의학회</publisher><subject>arrhythmia ; Heart ; preexcitation syndrome ; ventricular parasystole ; Wolff-Parkison- White syndrome</subject><ispartof>Korean journal of anesthesiology, 1999-12, Vol.37 (6), p.1143</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids></links><search><creatorcontrib>전윤석</creatorcontrib><creatorcontrib>Yun Seok Jeon</creatorcontrib><creatorcontrib>이평복</creatorcontrib><creatorcontrib>Pyung Bok Lee</creatorcontrib><creatorcontrib>김계민</creatorcontrib><creatorcontrib>Kye Min Kim</creatorcontrib><creatorcontrib>오용석</creatorcontrib><creatorcontrib>Yong Seok Oh</creatorcontrib><creatorcontrib>최윤식</creatorcontrib><creatorcontrib>Yun Shik Choi</creatorcontrib><title>심실 부수축기(Ventricular Parasystole)를 가진 환자의 마취 중 발견된 간헐적 조기흥분 증후군 (Preexcitation syndrome) - 증례 보고</title><title>Korean journal of anesthesiology</title><addtitle>Korean Journal of Anesthesiology</addtitle><description>We report a case in which WPW (Wolff-Parkinson-White)-type preexcitation syndrome arose unexpectedly immediately after induction of general anesthesia on a 25-yr-old man who had another rare cardiac arrhythmia, parasystole. His preoperative ECG showed ventricular bigeminy and a delta wave was observed after induction of anesthesia with fentanyl, midazolam and propofol. Anesthesia was maintained with propofol, fentanyl and nitrous oxide. The intraoperative ECG showed varying and temporary responsiveness to drugs such as atropine, lidocaine and ephedrine. After we started to infuse the dobutamine, the delta wave, ventricular bigeminy disappeared on the intraoperative ECG. We should consider the influence of anesthesia-related agents on arrhythmia, and aim to prevent and manage tachyarrhythmias caused by this syndrome. 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His preoperative ECG showed ventricular bigeminy and a delta wave was observed after induction of anesthesia with fentanyl, midazolam and propofol. Anesthesia was maintained with propofol, fentanyl and nitrous oxide. The intraoperative ECG showed varying and temporary responsiveness to drugs such as atropine, lidocaine and ephedrine. After we started to infuse the dobutamine, the delta wave, ventricular bigeminy disappeared on the intraoperative ECG. We should consider the influence of anesthesia-related agents on arrhythmia, and aim to prevent and manage tachyarrhythmias caused by this syndrome. (Korean J Anesthesiol 1999; 37: 1143∼1148)</abstract><pub>대한마취통증의학회</pub><tpages>6</tpages></addata></record> |
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ispartof | Korean journal of anesthesiology, 1999-12, Vol.37 (6), p.1143 |
issn | 2005-6419 |
language | kor |
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source | DOAJ Directory of Open Access Journals |
subjects | arrhythmia Heart preexcitation syndrome ventricular parasystole Wolff-Parkison- White syndrome |
title | 심실 부수축기(Ventricular Parasystole)를 가진 환자의 마취 중 발견된 간헐적 조기흥분 증후군 (Preexcitation syndrome) - 증례 보고 |
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