• J Clin Anesth · May 2011

    Case Reports

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

    • Seunghyun Chung and Hun Cho.
    • Department of Anesthesiology and Pain Medicine, Dongguk University College of Medicine, Ilsandong-gu,Goyang, 410-773, South Korea. pissces@medimail.co.kr
    • J Clin Anesth. 2011 May 1;23(3):227-30.

    AbstractSick 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.Copyright © 2011 Elsevier Inc. All rights reserved.

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