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Decreased pulse rate

Decreased pulse rate

Bradycardia is a medical condition in which the heart rate is slower than normal. It occurs when the heart's natural pacemaker, the sinus node, generates slower electrical impulses than the standard rhythm. In adults, bradycardia is diagnosed when the pulse rate falls below 60 beats per minute, indicating a deviation from the normal heart rate range.
There are specific risk factors that can elevate the likelihood of developing bradycardia. Advanced age is a significant factor, with bradycardia...

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[Bradycardia induced by galantamine].

C Leclerc¹, L Genuit-Leclerc, O Citerne

¹Service de chirurgie ambulatoire, clinique de Miséricorde, 15, fossés Saint-Julien, 14000 Caen, France. c.leclerc@fondation-misericorde.fr

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|November 15, 2008

Summary

This summary is machine-generated.

An 80-year-old patient with Alzheimer's disease underwent surgery for skin cancer. Atropine temporarily reversed bradycardia caused by Alzheimer's medication, allowing the procedure to proceed safely without a pacemaker.

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Area of Science:

Cardiology
Geriatrics
Pharmacology

Background:

An 80-year-old male patient with Alzheimer's disease required surgery for cutaneous neoplasia.
Local anesthesia with sedation was planned for the procedure.

Observation:

Preoperative assessment identified significant, asymptomatic bradycardia.
Electrocardiogram confirmed a complete atrioventricular block.

Findings:

The anticholinesterasic effects of galantamine, used for Alzheimer's treatment, were implicated in the bradycardia.
Atropine administration transiently reversed the bradycardia, enabling surgery.

Implications:

This case highlights the importance of preoperative cardiac evaluation in elderly patients, especially those on anticholinesterase inhibitors.
Transient pharmacological intervention can potentially avoid invasive procedures like pacemaker implantation in specific surgical contexts.