Key result
General anesthesia induction linked to complete AV block in a patient with LBBB taking gabapentin.
Why the study?
Complete atrioventricular block during general anesthesia in noncardiac surgeries is very rare and may be influenced by cardiac pathology, drugs, or anesthetic agents.
Case Report (n=1)
No
Highlights a rare case of complete atrioventricular block developing during general anesthesia induction in a patient with left bundle branch block taking gabapentin.
Answers are grounded in this paper and cite their sources.
May signal gabapentin-related AV block risk in LBBB during anesthesia induction; hypothesis-generating and should not change practice.
In noncardiac surgeries, the development of complete atrioventricular block during general anesthesia is a very rare condition. The possibility of developing atrioventricular block may increase with the presence of cardiac pathology or drugs or metabolic predisposing factors that affect cardiac conduction and the anesthetic agents may also contribute. In this case, we aimed to present a patient with left bundle branch block, using gabapentin, and developed atrioventricular block during general anesthesia induction.
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Kuşçu et al. (2022) conducted a case report in Atrioventricular complete block (n=1). Gabapentin was evaluated on Development of complete atrioventricular block. A 72-year-old female with left bundle branch block taking gabapentin developed complete atrioventricular block immediately after the induction of general anesthesia.
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