Document Detail

Progression of first degree atrioventricular block to second degree Mobitz type I block during spinal anesthesia associated with induced hypertension.
MedLine Citation:
PMID:  10513378     Owner:  NLM     Status:  MEDLINE    
A case is presented in which an elderly patient with preexisting first degree atrioventricular (AV) block progressed to second degree Mobitz Type I AV block during spinal anesthesia and associated with hypertension induced by a pure alpha 1 agonist. Second degree AV block caused by increased vagal tone was transient, which resolved as the blood pressure normalized. Hypotension due to spinal anesthesia treated with pure alpha 1 agonist can increase AV block in patient with pre-existing first degree heart block.
J S Anwari; S A Qureshi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Middle East journal of anaesthesiology     Volume:  15     ISSN:  0544-0440     ISO Abbreviation:  Middle East J Anaesthesiol     Publication Date:  1999 Jun 
Date Detail:
Created Date:  1999-11-05     Completed Date:  1999-11-05     Revised Date:  2014-10-10    
Medline Journal Info:
Nlm Unique ID:  8604187     Medline TA:  Middle East J Anaesthesiol     Country:  LEBANON    
Other Details:
Languages:  eng     Pagination:  201-6     Citation Subset:  IM    
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MeSH Terms
Adrenergic alpha-Agonists / adverse effects
Aged, 80 and over
Anesthesia, Spinal / adverse effects*
Disease Progression
Heart Block*
Hypertension / chemically induced*,  complications
Vagus Nerve / physiology
Reg. No./Substance:
0/Adrenergic alpha-Agonists

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

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