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
Hauptverfasser: 전윤석, Yun Seok Jeon, 이평복, Pyung Bok Lee, 김계민, Kye Min Kim, 오용석, Yong Seok Oh, 최윤식, Yun Shik Choi
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container_issue 6
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container_title Korean journal of anesthesiology
container_volume 37
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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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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