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Korean J Anesthesiol > Volume 49(6); 2005 > Article
Korean Journal of Anesthesiology 2005;49(6):879-882.
DOI: https://doi.org/10.4097/kjae.2005.49.6.879   
Anesthetic Management of a Patient with Brugada Syndrome: A case report.
Jin Young Lee, Hyun Chul Lee, Youn Jung Park, Mi Hwa Jung, Young Ryong Choi, Rim Soo Won
Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Seoul, Korea. l7035@hanmail.net
Abstract
Brugada syndrome is characterized by a distinctive electrocardiographic pattern (right bundle branch block and a ST segment elevation in the right precordial leads), but without structural heart disease. It is a rare genetic disorder, with an autosomal dominant inheritance pattern. Many factors during general anesthesia (medication, bradycardia, temperature changes) can precipitate malignant dysrhythmia in this patient, so careful choice of anesthetics is required. We experienced the anesthetic management of a 50-year-old male patient with Brugada syndrome, who underwent an emergency operation, under general anesthesia for acute appendicitis. Surgery was performed uneventfully, and the patient was discharged without complication.
Key Words: Brugada syndrome; malignant dysrhythmia


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