Complete Atrioventricular Nodal Block After Propofol Administration In An Elderly Patient Undergoing Total Knee Replacement Arthroplasty - A Case Report
KOREAN JOURNAL OF ANESTHESIOLOGY(2013)
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.
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Key words
Arrhythmia, Atrioventricular block, Pacemaker, Propofol
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