Journals / Turkish Journal of Anaesthesiology and Reanimation / 2016 / Cilt: 44 - Sayı: 2

Brugada Sendromlu Hastada Anestezi Yönetimi

Anaesthetic Management of a Patient with Brugada Syndrome

Pages
96–98
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

As a result, we believe that detailed patient history and careful examination of laboratory tests and electrocardiography are crucial for early diagnosis of some diseases and for successful anaesthetic management.

📌 3 Key Takeaways

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Objective & Hypothesis:Brugada Syndrome is a condition with an undetermined aetiology and a tendency for malignant arrhythmias, an electrocardiographic pattern of a right bundle branch block with persistent ST segment elevation in the right precordial leads (V1-V3) and no association with structural heart disease.
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Key Findings & Data:We aimed to discuss the anaesthetic management of an asymptomatic 35-year-old patient with Brugada syndrome who had been diagnosed during the pre-anaesthetic assessment because of the family history of the early sudden cardiac death of his mother.
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Conclusion & Impact:As a result, we believe that detailed patient history and careful examination of laboratory tests and electrocardiography are crucial for early diagnosis of some diseases and for successful anaesthetic management.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Brugada Syndrome is a condition with an undetermined aetiology and a tendency for malignant arrhythmias, an electrocardiographic pattern of a right bundle branch block with persistent ST segment elevation in the right precordial leads (V1-V3) and no association with structural heart disease. We aimed to discuss the anaesthetic management of an asymptomatic 35-year-old patient with Brugada syndrome who had been diagnosed during the pre-anaesthetic assessment because of the family history of the early sudden cardiac death of his mother. As a result, we believe that detailed patient history and careful examination of laboratory tests and electrocardiography are crucial for early diagnosis of some diseases and for successful anaesthetic management.

Özet

Brugada Sendromu, malign aritmilere yatkınlığı olan, elektrokar- diyografide (EKG) sağ dal bloğu ve sağ prekordiyal derivasyon- larda kalıcı ST segment elevasyonu bulunan, yapısal kalp hastalığı olmayan, etiyolojisi belirlenememiş bir hastalıktır. Biz bu yazıda, preoperatif anestezi değerlendirmesi sırasında annesinin kalp nedenli erken yaşta ölümü tespit edilen 35 yaşında asempto- matik Brugada sendromlu hastada anestezi yönetimini tartışmayı amaçladık. Sonuçta, anestezi değerlendirmesinde özgeçmişin de- taylı sorgulanması, laboratuvar ve görüntüleme tetkik sonuçları- nın dikkatli incelenmesi birçok hastalığın erken tanısında yarar sağladığı gibi iyi bir anestezi yönetiminin de temelini oluşturur düşüncesindeyiz.

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Cite This Article

ŞAHİNKAYA, H. H., YAŞAR, E., TEKGÜL, Z. T., HORSANALI, B. Ö., ÖZEROĞLU, E. (2016). Brugada Sendromlu Hastada Anestezi Yönetimi. Turkish Journal of Anaesthesiology and Reanimation, Cilt: 44 - Sayı: 2, 96–98. https://ajindex.com/articles/370586

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References (1)

  1. Brugada P, Brugada J. Right bundle branch block, persistent ST segment elevation and sudden cardiac death: a distinct clinical and electrocardiographic syndrome. A multicenter report. J Am Coll Cardiol 1992; 20: 1391-6. [CrossRef] 2. Hedley PL, Jorgensen P, Schlamowitz S, Moolman-Smook J, Kanters JK, Corfield VA, et al. The genetic basis of Brugada syndrome: a mutation update. Hum Mutat 2009; 30: 1256-66. [CrossRef] 3. Gussak I, Bjerregaard P, Hammill SC. Clinical diagnosis and risk stratification in patients with Brugada syndrome. J Am Coll Cardiol 2001; 37: 1635-8. [CrossRef] 4. Kloesel B, Ackerman MJ, Sprung J, Narr BJ, Weingarten TN. Anesthetic management of patients with Brugada syndrome: a case series and literature review. Can J Anesth 2011; 58: 824-36. [CrossRef] 5. Phillips N, Priestley M, Dennis AR, Uther JB. Brugada-type electrocardiographic pattern induced by epidural bupivacaine. Anesth Analg 2003; 97: 264-7. [CrossRef] 6. Postema PG, Wolpert C, Amin AS, Probst V, Borggrefe M, Roden DM, et al. Drugs and Brugada syndrome patients: review of literature, recommendations, and an up-to-date website (www. brugadadrugs.org). Heart Rhythm 2009; 6: 1335-41. [CrossRef] 7. Hayashida H, Miyauchi Y. Anaesthetic management in patients with high-risk Brugada syndrome. Br J Anaesth 2006; 97: 118-9. [CrossRef] 8. Edge CJ, Blackman DJ, Gupta K, Sainsbury M. General anaesthesia in a patient with Brugada syndrome. Br J Anaesth 2002; 89: 788-91. [CrossRef] 9. Inamura M, Okamoto H, Kuriowa M, Hoka S. General anesthesia for patients with Brugada syndrome. A report of six cases. Can J Anaesth 2005; 52: 409-12. [CrossRef] 10. Konishi J, Suzuki T, Kondo Y, Baba M, Ogawa S. Rocuronium and sugammadex used effectively for electroconvulsive therapy in a patient with Brugada syndrome. J ECT 2012; 28: 21-2. [CrossRef] 11. Dulu A, Pastores SM, McAleer E, Voigt L, Halpern NA. Brugada electrocardiographic pattern in a postoperative patient. Crit Care Med 2005; 33: 1634-7. [CrossRef] 12. Ahn YH, Kim JY. Anesthetic management of a patient with Brugada syndrome for one-lung ventilation by total intravenous anesthesia with propofol and remifentanil: A case report. Anesth Pain Med 2009; 4: 310-3. 13. Tatlı E, Gül Ç, Sürücü H, Özçelik F. Brugada Syndrome: Clinical Evaluation, diagnosis and treatment modalities: Review. Turkiye Klinikleri J Med Sci 2005; 25: 560-4.