Complete atrioventricular nodal block after propofol administration in an elderly patient undergoing total knee replacement arthroplasty: A case report.
10.4097/kjae.2013.64.4.363
- Author:
Jung Il NOH
1
;
Joon Ho LEE
;
Seung Yeon WOO
;
Young Kwon KIM
;
Sung Hwan CHO
;
Sang Hyun KIM
;
Won Seok CHAE
Author Information
1. Department of Anesthesiology and Pain Medicine, Soonchunhyang University, Bucheon Hospital, Bucheon, Korea. anpjuno@schmc.ac.kr
- Publication Type:Original Article
- Keywords:
Arrhythmia;
Atrioventricular block;
Pacemaker;
Propofol
- MeSH:
Aged;
Arrhythmias, Cardiac;
Arthroplasty, Replacement, Knee;
Atrioventricular Block;
Dissociative Disorders;
Humans;
Perioperative Period;
Propofol
- From:Korean Journal of Anesthesiology
2013;64(4):363-366
- CountryRepublic of Korea
- Language:English
-
Abstract:
Complete atrioventricular (AV) block is defined as a dissociation of atrial and ventricular activities. Complete AV block that occurs during the perioperative period is difficult to reverse and usually requires implantation of a pacemaker. Propofol does not affect a normal AV conduction system but may act as a trigger for AV block. It can also potentiate vagal stimulation factors and reduce sympathetic activity. We report a case of complete AV block that may have been related to administration of propofol.
