Brugada Syndrome Induced by an Interscalene Block: A Case Report
| Autor: | Sally A. Corey, Santosh Varkey, Douglas R. Phillips, Gregory L. Gay |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
congenital
hereditary and neonatal diseases and abnormalities medicine.medical_treatment 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology medicine Humans Orthopedics and Sports Medicine Rotator cuff cardiovascular diseases Cardiopulmonary resuscitation Brugada syndrome Brugada Syndrome Bupivacaine business.industry Nerve Block Middle Aged medicine.disease medicine.anatomical_structure Anesthesia Anesthetic Ventricular fibrillation Surgery Female Electrical conduction system of the heart business Interscalene block medicine.drug |
| Zdroj: | JBJS case connector. 7(4) |
| ISSN: | 2160-3251 |
| Popis: | Case A 57-year-old woman with no noteworthy medical or surgical history underwent an interscalene block with bupivacaine in preparation for an arthroscopic rotator cuff repair. Following administration of the bupivacaine, the patient sustained a ventricular fibrillation arrest. After successful cardiopulmonary resuscitation, she was diagnosed with Brugada syndrome. An implantable cardioverter-defibrillator was placed, and the rotator cuff repair was performed 1 month later. Conclusion Brugada syndrome is an abnormality of the cardiac conduction system that leads to cardiac arrhythmias. Several anesthetic agents trigger Brugada-like electrocardiographic abnormalities. To our knowledge, this is the first report of an interscalene block inducing Brugada syndrome. |
| Databáze: | OpenAIRE |
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