SUDDEN CARDIORESPIRATORY ARREST AFTER RENAL-TRANSPLANTATION IN A PATIENT WITH DIABETIC AUTONOMIC NEUROPATHY AND PROLONGED QT INTERVAL

Citation
E. Reissell et al., SUDDEN CARDIORESPIRATORY ARREST AFTER RENAL-TRANSPLANTATION IN A PATIENT WITH DIABETIC AUTONOMIC NEUROPATHY AND PROLONGED QT INTERVAL, Acta anaesthesiologica Scandinavica, 38(4), 1994, pp. 406-408
Citations number
7
Categorie Soggetti
Anesthesiology
ISSN journal
00015172
Volume
38
Issue
4
Year of publication
1994
Pages
406 - 408
Database
ISI
SICI code
0001-5172(1994)38:4<406:SCAARI>2.0.ZU;2-H
Abstract
A 31-yr male with insulin dependent diabetes mellitus for 20 years und erwent general anaesthesia for renal transplantation. During transfer from operating theatre to ICU he developed bradycardia advancing to ve ntricular fibrillation and had to be resuscitated. Bradycardia did not respond to atropine. Postoperative autonomic nervous function tests s howed advanced autonomic neuropathy. He was found to have constantly p rolonged QTc interval in his pre- and postoperative ECGs (462-503 ms). prolongation of QTc interval could be used as a valuable predictor of postoperative cardiac complications in diabetic patients with autonom ic neuropathy.