Key result
AICD placement under general anesthesia succeeds without complications in a Brugada syndrome patient.
Why the study?
Some routinely used anesthetic agents can trigger spontaneous ventricular arrhythmias in patients with Brugada Syndrome, posing a risk during anesthesia.
Case Report (n=1)
This case report highlights the successful and uncomplicated use of general anesthesia for AICD placement in a patient with Brugada Syndrome, while emphasizing the need for careful anesthetic selection to avoid triggering lethal arrhythmias.
Supports feasibility of general anesthesia for AICD in Brugada syndrome; leaves open need for prospective safety data.
Brugada Syndrome (BrS) is a rare autosomal disease caused by a genetic mutation affecting the ion channels of the cardiac conduction system. The administration of some routinely used anesthetic agents have shown to trigger spontaneous ventricular arrhythmias on BrS patients leading to sudden cardiac arrest. This is a case report on a 20year-old male patient with a history of cocaine abuse presenting to the emergency room (ER) with palpitations, chest discomfort, and syncope. Electrocardiogram (ECG) changes led to the diagnosis of BrS. The patient underwent an automatic implantable cardioverterdefibrillator (AICD) under general anesthesia without any complications, however routine anesthetic agents may induce lethal arrhythmias in BrS. This case report focuses on increasing the safety awareness for anesthesia care of patients with BrS.
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Jyothis Venus (2016) conducted a case report in Brugada Syndrome (n=1). General anesthesia was evaluated on Complications or lethal arrhythmias during surgery. A 20-year-old male with Brugada syndrome successfully underwent an automatic implantable cardioverter-defibrillator placement under general anesthesia without any complications.
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