دورية أكاديمية
Second-degree atrioventricular block induced by electrical stimulation of transcranial motor-evoked potential: a case report
| العنوان: | Second-degree atrioventricular block induced by electrical stimulation of transcranial motor-evoked potential: a case report |
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| المؤلفون: | Toru Murakami, Satoshi Tanaka, Ryusuke Tanaka, Mariko Ito, Takashi Ishida, Mikito Kawamata |
| المصدر: | JA Clinical Reports, Vol 10, Iss 1, Pp 1-4 (2024) |
| بيانات النشر: | SpringerOpen, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Anesthesiology LCC:Medical emergencies. Critical care. Intensive care. First aid |
| مصطلحات موضوعية: | Motor-evoked potential, Arrhythmia, Paroxysmal atrioventricular block, Supine surgery, General anesthesia, Anesthesiology, RD78.3-87.3, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9 |
| الوصف: | Abstract Background Although several complications of transcranial motor-evoked potentials (Tc-MEPs) have been reported, reports of arrhythmias during Tc-MEP are very rare. Case presentation A 71-year-old woman underwent transforaminal lumbar interbody fusion under general anesthesia, with intraoperative Tc-MEP monitoring. Preoperative electrocardiography showed an incomplete right bundle branch block but no cardiovascular events in her life. After induction of anesthesia, Tc-MEP was recorded prior to the surgery. During the Tc-MEP monitoring, electrocardiography and arterial blood pressure showed a second-degree atrioventricular block, but it improved rapidly at the end of the stimulation, and the patient was hemodynamically stable. Tc-MEP was recorded seven times during surgery; the incidence of P waves without QRS complexes was significantly higher than before stimulation. The surgery was uneventful, and she was discharged eight days postoperatively without complications. Conclusions Our case suggests that electrical stimulation for Tc-MEP can cause arrhythmia. Electrocardiography and blood pressure must be closely monitored during Tc-MEP monitoring. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2363-9024 |
| Relation: | https://doaj.org/toc/2363-9024 |
| DOI: | 10.1186/s40981-024-00722-3 |
| URL الوصول: | https://doaj.org/article/8a4b664300194ad0a3ed40e753ce2ee6 |
| رقم الأكسشن: | edsdoj.8a4b664300194ad0a3ed40e753ce2ee6 |
| قاعدة البيانات: | Directory of Open Access Journals |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 23639024 |
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| DOI: | 10.1186/s40981-024-00722-3 |