RECURRENT SINUS ARREST DURING LAPAROSCOPIC SACRAL COLPOPEXY IN PATIENTS WITH SICK SINUS SYNDROME : A CASE REPORT
Author:
Kim Kyeonghyo1, Woo Kyeongyoon1, Kim Haesoo1, Kim Eunju1
Affiliation:
1. Department of Anesthesiology and Pain Medicine, Daegu Fatima Hospital, 99 Ayang-ro, Daegu 41199, Korea
Abstract
Sick sinus syndrome (SSS) is a disease in which the SA node fails to perform the function of pacemaking.
ECG shows various rhythms including sinus arrest. We report recurrent sinus arrest during laparoscopic
sacral colpopexy in a 77-year-old female patient with SSS. The patient was diagnosed with SSS, but as there were no symptoms,
the operation was performed without pacemaker implantation. After induction of anesthesia, vital signs were stable, but sinus
arrest repeatedly appeared due to elevated vagal tone during uterine traction. After operation, the patient underwent
pacemaker implantation, and to this day, she is doing well without any symptoms. The anesthesiologist should pay close
attention to the progress of the operation through much communication with operator during the surgery. Also, we recommend to
considering temporary pacemaker implantation for patients with SSS who undergo surgery that can increase vagal tone.
Publisher
World Wide Journals
Subject
Insect Science,Ecology, Evolution, Behavior and Systematics,Infectious Diseases,Immunology and Allergy,Medicine (miscellaneous),Epidemiology,Molecular Biology,Biochemistry,Infectious Diseases,Pulmonary and Respiratory Medicine,Aerospace Engineering,Mechanical Engineering,Energy Engineering and Power Technology,Aerospace Engineering,Computer Networks and Communications,Software,Electrical and Electronic Engineering,Communication,Artificial Intelligence,Information Systems,Control and Systems Engineering,Software,Urban Studies,Sociology and Political Science,Development
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