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KMID : 0356920130640040363
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Korean Journal of Anesthesiology
2013 Volume.64 No. 4 p.363 ~ p.366
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Complete atrioventricular nodal block after propofol administration in an elderly patient undergoing total knee replacement arthroplasty -A case report-
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Noh Jung-Il
Lee Joon-Ho
Kim Young-Kwon
Cho Sung-Hwan
Kim Sang-Hyun
Chae Won-Seok
Woo Seung-Yeon
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Abstract
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Complete atrioventricular (AV) block is defined as a dissociation of atrial and ventricular activities. Complete AV block that occurs during the perioperative period is difficult to reverse and usually requires implantation of a pacemaker. Propofol does not affect a normal AV conduction system but may act as a trigger for AV block. It can also potentiate vagal stimulation factors and reduce sympathetic activity. We report a case of complete AV block that may have been related to administration of propofol.
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KEYWORD
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Arrhythmia, Atrioventricular block, Pacemaker, Propofol
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