Key result
Spinal anesthesia with 4.0 ml of 0.5% bupivacaine induced a first-degree heart block that progressed to complete heart block and asystole within 5 minutes, requiring successful resuscitation.
Population
68-year-old male with arterial hypertension scheduled for elective total hip arthroplasty
Design
Case_report
Follow-up
5 days postoperatively
Authors
Loading...
May warrant close ECG monitoring during spinal anesthesia; single case leaves open incidence and predictors of progression.
Case Report (n=1)
This case demonstrates that spinal anesthesia can induce severe atrioventricular conduction impairment, with first-degree heart block potentially serving as a rapid warning sign for impending asystole.
Jordi et al. (1998) conducted a case report in Spinal anesthesia-induced asystole (n=1). Spinal anesthesia (bupivacaine) was evaluated on Development of heart block and asystole. Spinal anesthesia with 4.0 ml of 0.5% bupivacaine induced a first-degree heart block that progressed to complete heart block and asystole within 5 minutes, requiring successful resuscitation.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: