Bradycardia induced by galantamine

An 80-year-old man had to be operated for cutaneous neoplasia. Local anaesthesia with sedation was required. Preoperative examination revealed a pronounced albeit asymptomatic bradycardia. Electrocardiogram showed a complete atrioventricular block. Use of a pacemaker was discussed. Finally, surgery...

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Veröffentlicht in:Annales françaises d'anesthésie et de réanimation 2008-11, Vol.27 (11), p.949
Hauptverfasser: Leclerc, C, Genuit-Leclerc, L, Citerne, O
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Sprache:fre
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Zusammenfassung:An 80-year-old man had to be operated for cutaneous neoplasia. Local anaesthesia with sedation was required. Preoperative examination revealed a pronounced albeit asymptomatic bradycardia. Electrocardiogram showed a complete atrioventricular block. Use of a pacemaker was discussed. Finally, surgery was performed uneventfully after transient reversal of the anticholinesterasic effects of galantamine administered in Alzheimer's disease control over several hours with atropine.
ISSN:1769-6623
DOI:10.1016/j.annfar.2008.08.012