Why the study?
Physical and emotional stressors during anesthesia can trigger fatal arrhythmias in patients with CPVT, but data on their anesthetic management remain scarce.
Case Report (n=1)
No
Careful perioperative anesthetic management, including stress reduction, avoidance of exogenous catecholamines, and use of sympatholytic agents, can safely prevent malignant arrhythmias in patients with CPVT undergoing general anesthesia.
Catecholaminergic polymorphic ventricular tachycardia (CPVT) is an inherited genetic disorder that predisposes patients to potentially fatal arrhythmia when under physical or emotional stress. Anesthetic management of patients with CPVT poses a huge challenge as physical and emotional stressors are common in the operating room. Stressors, such as pain and anxiety, must be carefully controlled to prevent life-threatening tachyarrhythmias. Currently there is a paucity of data on the anesthetic management of patients with CPVT. Herein, we present the anesthetic management that was implemented to ensure a safe perioperative course for a 16-year-old male with a history of CPVT who underwent dental extraction under general anesthesia.
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Wang et al. (2023) conducted a case report in Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT) (n=1). General anesthesia with esmolol, dexmedetomidine, and epinephrine avoidance was evaluated on Occurrence of perioperative tachyarrhythmias.
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