Profound bradycardia with lidocaine during anesthesia induction in a silent sick sinus syndrome patient

Kyoung Ok Kim, Seunghyun Chung, Kyoungjin Lee, Hun Cho

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Sick sinus syndrome is caused by sinus node dysfunction that renders it unable to function as a pacemaker. Patients with sick sinus syndrome are often asymptomatic or have symptoms that are mild and nonspecific. Lidocaine (0.5 mg/kg) injection is used for reduction of pain associated with intravenous injection of propofol. Episodes of marked bradycardia with sinus arrest after prophylactic lidocaine injection are reported in a 69-y-old man with no apparent preoperative cardiac disease or electrocardiographic abnormality. Surgery was postponed, and he was later diagnosed with sick sinus syndrome.

Original languageEnglish
Pages (from-to)227-230
Number of pages4
JournalJournal of Clinical Anesthesia
Volume23
Issue number3
DOIs
StatePublished - May 2011

Keywords

  • Lidocaine
  • Sick sinus syndrome
  • Sinus arrest

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