Key result
Combined thoracic epidural and general anesthesia caused atrial bradycardia resulting in isorhythmic atrioventricular dissociation in a surgical patient.
Highlights the importance of differential diagnosis and treatment of atrioventricular dissociation during combined thoracic epidural and general anesthesia.
Alerts to possible isorhythmic AV dissociation with thoracic epidural plus general anesthesia; single case leaves open incidence and management strategies.
In a patient being operated under combined thoracic epidural and general anesthesia, atrial bradycardia resulting in isorhythmic dissociation is reported. The ECG findings are presented and the causes of the dysrhythmia are discussed. The importance of differential diagnosis and treatment in atrioventricular dissociation is emphasized.
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León-Casasola et al. (1992) studied this question. Combined thoracic epidural and general anesthesia caused atrial bradycardia resulting in isorhythmic atrioventricular dissociation in a surgical patient.
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