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. 2013 Apr;64(4):363-6.
doi: 10.4097/kjae.2013.64.4.363. Epub 2013 Apr 22.

Complete atrioventricular nodal block after propofol administration in an elderly patient undergoing total knee replacement arthroplasty -A case report-

Jung-Il Noh  1 , Joon-Ho Lee, Seung-Yeon Woo, Young-Kwon Kim, Sung-Hwan Cho, Sang-Hyun Kim, Won-Seok Chae
Affiliations

Complete atrioventricular nodal block after propofol administration in an elderly patient undergoing total knee replacement arthroplasty -A case report-

Jung-Il Noh et al. Korean J Anesthesiol. 2013 Apr.

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.

Keywords: Arrhythmia; Atrioventricular block; Pacemaker; Propofol.

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Figures

Fig. 1
Fig. 1
Preoperative electrocardiogram.
Fig. 2
Fig. 2
Complete atrioventricular block that occurred when propofol was injected.
Fig. 3
Fig. 3
Electrocardiogram taken after insertion of a permanent pacemaker.
See this image and copyright information in PMC

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