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Korean J Anesthesiol > Volume 56(2); 2009 > Article
Korean Journal of Anesthesiology 2009;56(2):230-235.
DOI: https://doi.org/10.4097/kjae.2009.56.2.230   
Cardiopulmonary arrest due to sick sinus syndrome: A case report.
Seong Su Kim, Min Kyo Suh, Il Jung
Department of Anesthesiology and Pain Medicine, Gangneung Asan Hospital, Ulsan University College of Medicine, Gangneung, Korea. sskim@gnah.co.kr
Sick sinus syndrome (SSS) is an abnormality of sinus nodal impulse formation by intrinsic or extrinsic causes. Patients with SSS often are asymptomatic, or have mild or nonspecific symptoms, including dizziness, palpitations, fatigue, and confusion related to the decreased cardiac output. SSS can rarely cause conditions like syncope, congestive heart failure, thromboembolism, pulmonary edema, cardiac arrest, or sudden death. We report here on a severe bradycardia during general anesthesia for aneurysmal clipping and tachycardia-bradycardia syndrome followed by cardiac arrest postoperatively in the ICU, which was subsequently diagnosed as SSS with 24-hour Holter monitoring.
Key Words: Bradycardia; Cardiac arrest; Sick sinus syndrome
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