High degree of atrioventricular block during mandibular cystectomy in a healthy adult patient
During mandibular cystectomy under general anesthesia in a 46 year old male, classified ASA-PS1, a T wave peak was noted. This was followed by ST segment elevation and a high degree of atrioventricular block with severe bradycardia. Chest compression was performed immediately and sinus rhythm, with...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-10-01
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| Series: | Advances in Oral and Maxillofacial Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S266714762200125X |
| _version_ | 1828089515420418048 |
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| author | Takaya Ito Sakiko Okura Chihiro Suzuki Yushi Abe Yoshihisa Morita Shigeru Maeda |
| author_facet | Takaya Ito Sakiko Okura Chihiro Suzuki Yushi Abe Yoshihisa Morita Shigeru Maeda |
| author_sort | Takaya Ito |
| collection | DOAJ |
| description | During mandibular cystectomy under general anesthesia in a 46 year old male, classified ASA-PS1, a T wave peak was noted. This was followed by ST segment elevation and a high degree of atrioventricular block with severe bradycardia. Chest compression was performed immediately and sinus rhythm, with regular heart rate (HR), was observed to recover soon after. ST segment depression remained; after return of spontaneous circulation, it recovered to normal levels in 50 min. Based on the electrocardiogram changes, vasospastic angina, related to the right coronary artery, was the prime suspect. It is recommended that vasospastic angina should be prepared for in the perioperative period, even when there seems to be no risk of it. |
| first_indexed | 2024-04-11T05:43:13Z |
| format | Article |
| id | doaj.art-3947b436afdc4c9ba2522e9886d38db7 |
| institution | Directory Open Access Journal |
| issn | 2667-1476 |
| language | English |
| last_indexed | 2024-04-11T05:43:13Z |
| publishDate | 2022-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Advances in Oral and Maxillofacial Surgery |
| spelling | doaj.art-3947b436afdc4c9ba2522e9886d38db72022-12-22T04:42:19ZengElsevierAdvances in Oral and Maxillofacial Surgery2667-14762022-10-018100375High degree of atrioventricular block during mandibular cystectomy in a healthy adult patientTakaya Ito0Sakiko Okura1Chihiro Suzuki2Yushi Abe3Yoshihisa Morita4Shigeru Maeda5Department of Dental Anesthesiology and Orofacial Pain Management, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, JapanDepartment of Anesthesiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 166-8582, JapanDepartment of Dental Anesthesiology and Orofacial Pain Management, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, JapanDepartment of Dental Anesthesiology and Orofacial Pain Management, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, JapanDivision of Anesthesiology, Kawasaki Municipal Hospital, 12-1 Shinkawadori, Kawasaki-ku, Kawasaki, 210-0013, JapanDepartment of Dental Anesthesiology and Orofacial Pain Management, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan; Corresponding author. Department of Dental Anesthesiology and Orofacial Pain Management, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan.During mandibular cystectomy under general anesthesia in a 46 year old male, classified ASA-PS1, a T wave peak was noted. This was followed by ST segment elevation and a high degree of atrioventricular block with severe bradycardia. Chest compression was performed immediately and sinus rhythm, with regular heart rate (HR), was observed to recover soon after. ST segment depression remained; after return of spontaneous circulation, it recovered to normal levels in 50 min. Based on the electrocardiogram changes, vasospastic angina, related to the right coronary artery, was the prime suspect. It is recommended that vasospastic angina should be prepared for in the perioperative period, even when there seems to be no risk of it.http://www.sciencedirect.com/science/article/pii/S266714762200125XVariant angina pectorisGeneral anesthesiaAtrioventricular blockBradycardiaOdontogenic cysts |
| spellingShingle | Takaya Ito Sakiko Okura Chihiro Suzuki Yushi Abe Yoshihisa Morita Shigeru Maeda High degree of atrioventricular block during mandibular cystectomy in a healthy adult patient Advances in Oral and Maxillofacial Surgery Variant angina pectoris General anesthesia Atrioventricular block Bradycardia Odontogenic cysts |
| title | High degree of atrioventricular block during mandibular cystectomy in a healthy adult patient |
| title_full | High degree of atrioventricular block during mandibular cystectomy in a healthy adult patient |
| title_fullStr | High degree of atrioventricular block during mandibular cystectomy in a healthy adult patient |
| title_full_unstemmed | High degree of atrioventricular block during mandibular cystectomy in a healthy adult patient |
| title_short | High degree of atrioventricular block during mandibular cystectomy in a healthy adult patient |
| title_sort | high degree of atrioventricular block during mandibular cystectomy in a healthy adult patient |
| topic | Variant angina pectoris General anesthesia Atrioventricular block Bradycardia Odontogenic cysts |
| url | http://www.sciencedirect.com/science/article/pii/S266714762200125X |
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