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Accelerated idioventricular rhythm associated with desflurane anesthesia :A case report
Jiyoun Bang1, Jun Gol Song1, Young Soo Park1
1Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. hsyang@amc.seoul.kr.
Korean Journal of Anesthesiology
|January 11, 2019
Summary
Accelerated idioventricular rhythm (AIVR) is a ventricular rhythm between 60-100 bpm. This case highlights AIVR potentially triggered by desflurane, emphasizing the need for differential diagnosis.
Area of Science:
- Cardiology
- Anesthesiology
Background:
- Accelerated idioventricular rhythm (AIVR) is a ventricular arrhythmia.
- It is characterized by a heart rate of 60-100 beats per minute or ventricular tachycardia not exceeding 120 bpm.
- AIVR requires differentiation from other arrhythmias of different origins.
Purpose of the Study:
- To report a rare case of AIVR.
- To investigate the potential link between desflurane administration and AIVR.
Main Methods:
- Case report presentation.
- Review of clinical data and cardiac rhythm monitoring.
Main Results:
- The patient developed AIVR during desflurane anesthesia.
- The arrhythmia resolved after discontinuation of the anesthetic agent.
Conclusions:
- Desflurane may be a potential trigger for AIVR.
- Careful monitoring for arrhythmias during desflurane anesthesia is warranted.
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