Key result
A 62-year-old female marathon runner experienced severe bradycardia and cardiac arrest in the postoperative recovery room, requiring resuscitation with epinephrine and cardiac massage.
Case Report (n=1)
Patients with athlete's heart may be at risk for severe bradycardia and cardiac arrest during the perioperative period due to anesthesia-induced autonomic changes, highlighting the need for detailed preoperative history taking.
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Requires vigilant monitoring in patients with preoperative bradycardia or syncope; leaves open whether enhanced risk stratification prevents arrest.
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Kawagoe et al. (2017) conducted a case report in Postoperative cardiac arrest due to severe bradycardia (n=1). General and thoracic epidural anesthesia was evaluated on Cardiac arrest and resuscitation. A 62-year-old female marathon runner experienced severe bradycardia and cardiac arrest in the postoperative recovery room, requiring resuscitation with epinephrine and cardiac massage.
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