Highlights the risk of cardiac arrest following spinal anaesthesia in patients with undiagnosed sick sinus syndrome.
Supports vigilance for undiagnosed sick sinus syndrome in post-spinal anaesthesia arrest; single case leaves open need for prospective data.
A case of sick sinus syndrome which presented as a cardiac arrest following spinal anaesthesia is reported. The diagnosis of sick sinus syndrome, the cardiovascular effects of spinal anaesthesia and the anaesthetic management of patients with the syndrome are discussed.
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Underwood et al. (1988) studied this question.
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