Key result
Anesthetic management for patients with congenital long QT syndrome requires careful preoperative optimization, intraoperative agent selection, and postoperative care to prevent malignant arrhythmias.
Why the study?
Does optimal pre-, peri- and post-operative anesthetic management prevent Torsades de Pointes and malignant arrhythmias in patients with congenital long QT syndrome undergoing surgery?
Does optimal pre-, peri- and post-operative anesthetic management prevent Torsades de Pointes and malignant arrhythmias in patients with congenital long QT syndrome undergoing surgery?
This review provides key anesthetic recommendations for the perioperative management of patients with congenital long QT syndrome to prevent malignant arrhythmias.
Supports specialized perioperative protocols in congenital long QT syndrome; leaves open prospective trials to confirm arrhythmia prevention.
Long QT syndrome incidence is increasing in general population. A careful pre-, peri- and post-operative management is needed for patients with this syndrome because of the risk of Torsades de Pointes and malignant arrhythmias. The available data regarding prevention of lethal Torsades de Pointes during anesthesia in patients with long QT syndrome is scant and conflicting: only case reports and small case series with different outcomes have been published. Actually, there are no definitive guidelines on pre-, peri- and post-operative anesthetic management of congenital long QT syndrome. Our review focuses on anesthetic recommendations for patients diagnosed with congenital long QT syndrome furnishing some key points for preoperative optimization, intraoperative anesthetic agents and postoperative care plan, which could be the best for patients with c-long QT syndrome who undergo surgery.
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Giovanni Fazio (2013) conducted a review in Long QT syndrome. Anaesthesiological management was evaluated. Anesthetic management for patients with congenital long QT syndrome requires careful preoperative optimization, intraoperative agent selection, and postoperative care to prevent malignant arrhythmias.
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