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KMID : 0352120140290020027
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Journal of Kyung Hee University
2014 Volume.29 No. 2 p.27 ~ p.31
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Bigeminy in a Patient Undergoing Appendectomy ? A Probable Mitral Valve Prolapse Syndrome
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Shin Dong-Wook
Lee Ju-Ho
Park Soo-Yeun
Yang Hyeon-Jeong
Chun Duk-Hee
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Abstract
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A 35 year-old female patient with no known cardiac history was to undergo emergency laparoscopic appendectomy due to perforated appendicitis. Preoperative lab results were within normal range except ECG, which presented sinus rhythm with occasional premature ventricular complexes. At the operating room, ECG showed continuous bigeminy. General anesthesia was performed and no adverse events were observed during the anesthetic management. At the end of operation, bigeminy started to disappear and one day after the surgery, ECG returned to normal sinus rhythm. One must suspect mitral valve prolapse syndrome when the patient is a female between 30～50 years of age presenting arrhythmia with no known heart disease. Due to exacerbated autonomic system and the emotional stress can trigger symptoms of chest pain, fatigue, palpitations, dyspnea, dizziness, syncope, or panic attacks which disappear when the trigger is gone.
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KEYWORD
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Bigeminy, Mitral valve prolapse
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