Tachycardia-bradycardia syndrome in a patient with atrial fibrillation: a case report.
10.4097/kjae.2015.68.4.415
- Author:
Sung Hwan CHOI
1
;
Sung Lark CHOI
;
Bong Yeong LEE
;
Mi Ae JEONG
Author Information
1. Department of Anesthesiology and Pain Medicine, Hanyang University Hospital, Seoul, Korea. macheong@hanyang.ac.kr
- Publication Type:Case Report
- Keywords:
Artificial cardaic pacing;
Atrial fibrillation;
Sick sinus syndrome
- MeSH:
Aged, 80 and over;
Atrial Fibrillation*;
Blood Pressure;
Consciousness;
Electrocardiography;
Female;
Humans;
Injections, Intravenous;
Lidocaine;
Propofol;
Sick Sinus Syndrome;
Thorax;
Urinary Bladder Neoplasms
- From:Korean Journal of Anesthesiology
2015;68(4):415-419
- CountryRepublic of Korea
- Language:English
-
Abstract:
An 83-year-old woman was scheduled for a second transurethral resection of a bladder tumor. The preoperative electrocardiogram evaluation revealed atrial fibrillation with a slow ventricular response (ventricular rate: 59 /min). After intravenous injection of 1% lidocaine 40 mg and propofol 60 mg, the ventricular rate increased to 113 beats/min and then fell rapidly to 27 beats/min. Blood pressure was 70/40 mmHg. Later an atrial fibrillation rhythm, with a ventricular rate of 100-130 beats/min, was observed together with a sinus pause and sinus rhythm with a ventricular rate of 40-50 beats/min. An external pacemaker was applied and set at 60 mA, 40 counts. After the patient regained consciousness, she presented an alert mental state and had no chest symptoms. She was discharged 2 weeks later without complications after insertion of a permanent pacemaker.
