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Ventricular fibrillation related to reversal of the neuromuscular blockade in a patient with long QT syndrome
Author(s) -
Pleym H.,
Bathen J.,
Spigset O.,
Gisvold S. E.
Publication year - 1999
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1034/j.1399-6576.1999.430319.x
Subject(s) - medicine , neuromuscular blockade , long qt syndrome , ventricular fibrillation , blockade , anesthesia , cardiology , sudden cardiac death , qt interval , receptor
The long QT syndrome (LQTS) is associated with syncopal attacks or even sudden death at a young age due to ventricular fibrillation. We report a patient with an undiagnosed LQTS who had an episode of cardiac arrest during the final part of general anesthesia, immediately after the drugs for reversal of the neuromuscular blockade were given. We suggest that the administration of glycopyrronium might have been the provoking factor in this patient.