Anaesthetic management of a patient with sick sinus syndrome for vaginal hysterectomy
Journal Title: Medpulse International Journal of Anesthesiology - Year 2018, Vol 8, Issue 2
Abstract
Background: Sick sinus syndrome is a generalised abnormality of cardiac impulse formation that may be caused either by an intrinsic disease of the sinus node, which makes it unable to perform its pacemaking function, or by extrinsic factorsIntrinsic factors include degenerative fibrosis, ion channel dysfunction, and remodeling of the sinoatrial node.Extrinsic factors can be pharmacological, metabolic, or autonomic.It commonly affects elderly persons.Abnormalities encompassed by this syndrome include sinus bradycardia, sinus arrest or exit block, combinations of sinoatrial and atrioventricular nodal conduction disturbances and atrial tachyarrhythmias. Diagnosis of sick sinus syndrome can be difficult because of its nonspecific symptoms and elusive findings on an electrocardiogram or a Holter monitor.Here, we present the perioperative management of an elderly patient with sick sinus syndrome posted for vaginal hysterectomy.
Authors and Affiliations
Manisha Singh, NageshJambure .
Keywords
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