Key result
Propofol sedation linked to acute RV failure and PEA arrest in underlying RV dysfunction and PH.
Case Report (n=1)
Answers are grounded in this paper and cite their sources.
Procedural sedation with propofol can precipitate acute right ventricular failure and fatal cardiac arrest in patients with pre-existing RV dysfunction and pulmonary hypertension.
The case of a patient who suffered cardiac arrest while undergoing transesophageal echocardiography (TEE) is presented here. A 75-year-old man with moderate right ventricular (RV) dysfunction and pulmonary hypertension became bradycardic and hypotensive after receiving propofol for procedural sedation. His profound hypotension ultimately led to a pulseless electrical activity (PEA) cardiac arrest. TEE images captured immediately prior to cardiac arrest show a severely dilated and hypokinetic RV, consistent with acute right ventricular failure. This case highlights the potentially fatal consequences of procedural sedation in patients with RV dysfunction and pulmonary hypertension.
No takes yet. Share an insight, caveat, or question.
Kersey et al. (2021) conducted a case report in Right ventricular dysfunction and pulmonary hypertension (n=1). Propofol was evaluated on Cardiac arrest. Procedural sedation with propofol in a 75-year-old man with right ventricular dysfunction and pulmonary hypertension led to acute right ventricular failure and PEA cardiac arrest.
Synapse has enriched 10 related papers. Consider them for comparative context: