Abstract
Propofol and remifentanil are widely used anesthetics due to rapid onset and offset even after prolonged infusion. However, these agents are known to have vagomimetic effects and may cause conduction delays [1,2]. We describe a case of alternating asystole and atrial fibrillation occurred immediately after start of target-controlled infusion (TCI) of propofol and remifentanil, and late diagnosis of sick sinus syndrome.
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