Complete atrioventricular nodal block after propofol administration in an elderly patient undergoing total knee replacement arthroplasty -A case report-

Korean J Anesthesiol. 2013 Apr;64(4):363-6. doi: 10.4097/kjae.2013.64.4.363. Epub 2013 Apr 22.

Abstract

Complete atrioventricular (AV) block is defined as a dissociation of atrial and ventricular activities. Complete AV block that occurs during the perioperative period is difficult to reverse and usually requires implantation of a pacemaker. Propofol does not affect a normal AV conduction system but may act as a trigger for AV block. It can also potentiate vagal stimulation factors and reduce sympathetic activity. We report a case of complete AV block that may have been related to administration of propofol.

Keywords: Arrhythmia; Atrioventricular block; Pacemaker; Propofol.