Bradycardia and hypotension refractory to ephedrine and atropine treatment: severe autonomic dysfunction with abnormal heart rate variability.
Acta Anaesthesiol Taiwan
; 44(2): 109-12, 2006 Jun.
Article
en En
| MEDLINE
| ID: mdl-16845916
ABSTRACT
Diabetic patients with autonomic dysfunction are potentially poor risks for anesthesia and particular care is needed during and after surgery. We here report a 48-year-old male patient with diabetes mellitus who suffered from intraoperative hypotension and bradycardia which did not respond to ephedrine and atropine treatment and eventuated in cardiac arrest. A heart rate variability study confirmed the diagnosis of autonomic dysfunction after the event. Possible predisposing mechanisms and anesthetic considerations are discussed.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Atropina
/
Enfermedades del Sistema Nervioso Autónomo
/
Bradicardia
/
Efedrina
/
Hipotensión
/
Complicaciones Intraoperatorias
Tipo de estudio:
Etiology_studies
Límite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Acta Anaesthesiol Taiwan
Asunto de la revista:
ANESTESIOLOGIA
Año:
2006
Tipo del documento:
Article