Abstract
The long QT syndrome (LQTS) is associated with syncopal attacks or even sudden death at a young age due to ventricular fibrillation. We report a patient with an undiagnosed LQTS who had an episode of cardiac arrest during the final part of general anesthesia, immediately after the drugs for reversal of the neuromuscular blockade were given. We suggest that the administration of glycopyrronium might have been the provoking factor in this patient.
MeSH terms
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Adult
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Cholinesterase Inhibitors / adverse effects
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Female
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Glycopyrrolate / adverse effects
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Humans
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Long QT Syndrome / complications
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Long QT Syndrome / physiopathology*
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Neostigmine / adverse effects
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Neuromuscular Blockade*
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Parasympatholytics / adverse effects*
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Ventricular Fibrillation / complications
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Ventricular Fibrillation / etiology*
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Ventricular Fibrillation / physiopathology
Substances
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Cholinesterase Inhibitors
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Parasympatholytics
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Neostigmine
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Glycopyrrolate