Brugada electrocardiographic pattern in a postoperative patient Journal Article
| Authors: | Dulu, A.; Pastores, S. M.; Mcaleer, E.; Voigt, L.; Halpern, N. A. |
| Article Title: | Brugada electrocardiographic pattern in a postoperative patient |
| Abstract: | Objective: To report the development of the Brugada electrocardiographic (ECG) pattern in the immediate postoperative setting. Design: Case report. Setting: Postanesthesia care unit at Memorial Sloan-Kettering Cancer Center. Patient A 51-yr-old white male who developed new ST-segment elevation in leads V1-V3 typical of the ECG changes of the Brugada syndrome immediately after undergoing head and neck surgery for cancer. The patient was asymptomatic, and the cardiac enzymes and echocardiogram were normal; therefore, electrophysiologic study was not performed. Conclusions: We postulated that the Brugada ECG abnormalities were induced primarily by an increase in parasympathetic tone resulting from vagal nerve manipulation during deep neck dissection and partially by the fever he developed during the postoperative period. In addition to the more common causes of ST-segment elevation, the Brugada ECG pattern or syndrome should be considered in patients undergoing deep neck dissection who develop characteristic ECG changes in association with normal cardiac enzymes and echocardiogram. Copyright © 2005 by the Society of Critical Care Medicine and Lippincott Williams & Wilkins. |
| Keywords: | adult; middle aged; case report; neck dissection; postoperative period; squamous cell carcinoma; postoperative complications; head and neck neoplasms; syndrome; postoperative; electrocardiography; electrocardiogram; mandible resection; surgical patient; brugada syndrome; electrophysiologic study; heart electrophysiology; mandible cancer; bundle-branch block |
| Journal Title: | Critical Care Medicine |
| Volume: | 33 |
| Issue: | 7 |
| ISSN: | 0090-3493 |
| Publisher: | Lippincott Williams & Wilkins |
| Date Published: | 2005-07-01 |
| Start Page: | 1634 |
| End Page: | 1637 |
| Language: | English |
| DOI: | 10.1097/01.ccm.0000169881.09304.a4 |
| PUBMED: | 16003074 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 7" - "Export Date: 24 October 2012" - "CODEN: CCMDC" - "Source: Scopus" |
Altmetric
Citation Impact
BMJ Impact Analytics
Related MSK Work