Tachycardia-bradycardia syndrome in a patient with atrial fibrillation-a case report

Title
Tachycardia-bradycardia syndrome in a patient with atrial fibrillation-a case report
Authors
정미애
Keywords
Artificial cardaic pacing; Atrial fibrillation; Sick sinus syndrome
Issue Date
2015-08
Publisher
Korean Society of Anesthesiologists
Citation
Korean Journal of Anesthesiology, v. 68, NO 4, Page. 415-419
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.
URI
https://ekja.org/search.php?where=aview&id=10.4097/kjae.2015.68.4.415&code=0011KJAE&vmode=FULLhttp://hdl.handle.net/20.500.11754/26787
ISSN
2005-6419; 2005-7563
DOI
http://dx.doi.org/10.4097/kjae.2015.68.4.415
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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