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KMID : 1155520130080030203
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Anesthesia and Pain Medicine
2013 Volume.8 No. 3 p.203 ~ p.207
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Brugada syndrome manifested in postoperative period -A case report-
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Lee Ju-Hyun
Ro Young-JIn
Yang Hong-Seuk
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Abstract
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We describe here a woman with Brugada syndrome revealed in postoperative period. A 48-year-old woman who underwent open biopsy of a tumor on her left distal femur under general anesthesia experienced post-surgical palpitations and chest discomfort. On the following day, an electrocardiogram showed coved type ST elevation with T inversion on V1 and V2 without any structural heart disease. After we confirmed it by a flecainide provocation test, the patient was diagnosed with Brugada syndrome. Genetic analysis showed c.3578G ＞ A (p.Arg1193Gln) variant in the SCN5A gene. She underwent successful curettage and internal fixation under a single-shot spinal anesthesia without any adverse events.
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KEYWORD
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Brugada syndrome, General anesthesia, Genetic analysis
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