Vagally mediated atrioventricular block with ventricular asystole immediately after assuming prone position under spinal anestheisa: a case report.
10.4097/kjae.2016.69.1.63
- Author:
Kyoung Ok KIM
1
;
Jun Seok OH
Author Information
1. Department of Anesthesiology and Pain Medicine, Ilsan Hospital, Dongguk University Medical Center, Dongguk University, Goyang, Korea. pissces@dumc.or.kr
- Publication Type:Case Report
- Keywords:
Atrioventricular block;
Prone position;
Spinal anesthesia;
Vasovagal syncope
- MeSH:
Anesthesia, Spinal;
Atrioventricular Block*;
Consciousness;
Electrocardiography;
Heart Arrest*;
Humans;
Middle Aged;
Prone Position*;
Supine Position;
Syncope;
Syncope, Vasovagal
- From:Korean Journal of Anesthesiology
2016;69(1):63-65
- CountryRepublic of Korea
- Language:English
-
Abstract:
Vagally mediated atrioventricular (AV) block is a condition which a paroxysmal AV block occurs with the slowing of the sinus rate. Owing to its unpredictability and benign nature, it often goes unrecognized in clinical practice. We present the case of a 49-year-old man who suddenly lost consciousness when he assumed a prone position for hemorrohoidectomy under spinal anesthesia; continuous electrocardiographic recording revealed AV block with ventricular asystole. He was completely recovered after returning to a supine position. This case calls our attention to fatal manifestation of vagally mediated AV block leading to syncope.
