Skip to main content Accessibility help
×
Hostname: page-component-848d4c4894-2xdlg Total loading time: 0 Render date: 2024-06-20T07:17:38.213Z Has data issue: false hasContentIssue false

Chapter 27 - Cardiac Conduction Blocks

from Section 2 - Cardiac, Thoracic, and Vascular Anesthesia

Published online by Cambridge University Press:  03 August 2023

Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
Get access

Summary

A 15-year-old female is scheduled for a mastoidectomy. Her mother reports that she was 8 weeks premature and has significant developmental delays. She is followed closely at an outside hospital for her primary care. Her mother also tells you that she was recently diagnosed with a second-degree heart block (Mobitz type II). She hands you a copy of the cardiologist’s note. He recommends a follow-up appointment and EKG in 3 months, but no medications or pacemaker. The patient is currently asymptomatic. Are you concerned? How will you treat this patient? Would you place external pacemaker pads? Would you like another cardiology consult?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
, pp. 111 - 115
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Heart Association. CPR & first aid, emergency cardiovascular care. https://cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines/algorithms (accessed 2 January 2023).Google Scholar
Circulation. Management of symptomatic bradycardia and tachycardia. Circulation 2005;112:6777.Google Scholar
Dubin, D. Rapid Interpretation of EKGs, 6th ed. Tampa: Cover, 2000, pp. 174–94.Google Scholar
Gropper, MA. Miller’s Anesthesia, 9th ed. Philadelphia: Elsevier, 2020, pp. 1815–25.Google Scholar
Kerola, T, Eranti, A, Aro, AL, et al. Risk factors associated with atrioventricular block. JAMA Netw Open 2019;2(5):e194176.CrossRefGoogle ScholarPubMed
Lobato, EB, Gravenstein, N, Kirby, RR. Complications in Anesthesiology, 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2008, pp. 256–9.Google Scholar
Longnecker, DE, Brown, D, Newman, M, et al. Anesthesiology. New York: McGraw Hill. 2008, p. 349.Google Scholar
Sauer, WH. Third degree (complete) atrioventricular block. In: Ganz LI, Yeon, SB, eds. UpToDate (accessed 2 January 2023).Google Scholar
Shigematsu-Locatelli, M, Kawana, T, Nishigaki, A, et al. General anesthesia in a patient with asymptomatic second-degree two-to-one atrioventricular block. JA Clin Rep 2017;3:27.CrossRefGoogle Scholar
Suzuki, M, Sakaue, T, Tanaka, M, et al. Association between right bundle branch block and impaired myocardial tissue-level reperfusion in patients with acute myocardial infarction. J Am Coll Cardiol 2006;47:2122–4.CrossRefGoogle ScholarPubMed
Yao, FSF, Hemmings, HC, Malhotra, V, Fong, J. Yao & Artusio’s Anesthesiology: Problem-Oriented Patient Management, 9th ed. Alphen aan den Rijn: Wolters Kluwer. 2021, pp. 182–4.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×