Sustained mitigation of ST-segment elevation in a patient with Brugada syndrome type 1 during sevoflurane and remifentanil anesthesia: a case report

Autor: Kurumi Saito, Hitoshi Yoshida, Kazuyoshi Hirota
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: JA Clinical Reports, Vol 10, Iss 1, Pp 1-5 (2024)
Druh dokumentu: article
ISSN: 2363-9024
DOI: 10.1186/s40981-024-00702-7
Popis: Abstract Background During general anesthesia, patients with Brugada syndrome are at risk of malignant arrhythmias following worsened ST-segment elevation, potentially leading to sudden cardiac death. The protocol for safe anesthetic management of patients with Brugada syndrome has not yet been established. Case presentation A 63-year-old man, diagnosed with a spontaneous Brugada type 1 pattern, was scheduled for a pleural biopsy using video-assisted thoracoscopic surgery under general anesthesia. We planned general anesthesia using volatile induction and maintenance anesthesia with sevoflurane and remifentanil. We monitored ST-segment morphology and observed sustained mitigation of ST-segment elevation throughout general anesthesia. Conclusion The present case may indicate that safe anesthetic management of patients with Brugada syndrome depends on whether the anesthetics used can reduce ST-segment elevation.
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