Document Detail

Complete atrioventricular block with bradycardia after craniotomy.
MedLine Citation:
PMID:  19762308     Owner:  NLM     Status:  MEDLINE    
We report an 82-year-old male patient who developed complete atrioventricular block (CAVB) with severe bradycardia 1 hour after craniotomy. After emergency placement of a transvenous pacemaker, the patient's heart rate was restored. Serial assays of serum cardiac enzymes, echocardiography and serum digoxin concentration did not show evidence of myocardial infarction, myocardial injury, or drug toxicity. Tracing back past history, neither syncope nor arrhythmia of any form was noted. A neurogenic heart disorder, high vagal tone, and aging possibly contributed to this cardiac event in this patient. CAVB, although uncommon, is a disastrous complication following craniotomy, and needs aggressive and instantaneous management.
Shun-Chin Yang; Wen-Kuei Chang; Hui-Bih Yuan; Chun-Sung Sung; Kwok-Han Chan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists     Volume:  47     ISSN:  1875-4597     ISO Abbreviation:  -     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-09-18     Completed Date:  2010-01-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101214918     Medline TA:  Acta Anaesthesiol Taiwan     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  150-3     Citation Subset:  IM    
Department of Anesthesiology, Taipei Veterans General Hospital and School of Medicine, National Yang-Ming University, Taipei, Taiwan, R.O.C.
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MeSH Terms
Aged, 80 and over
Bradycardia / etiology*
Craniotomy / adverse effects*
Heart Block / etiology*
Postoperative Complications / etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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