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

Noh, Jung-Il; Lee, Joon-Ho; Woo, Seung-Yeon; Kim, Young-Kwon; Cho, Sung-Hwan; Kim, Sang-Hyun; Chae, Won-Seok
April 2013
Korean Journal of Anesthesiology;Apr2013, Vol. 64 Issue 4, p363
Academic Journal
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.


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