Abstract
Sick sinus syndrome (SSS) is a generalized abnormality of cardiac impulse formation. Patients with SSS occasionally need temporary pacing during general anesthesia. The most common issue arising in the perioperative period is electromagnetic interference with device function. We report a case of a 66-year-old man who required temporary cardiac pacing during maxillary cyst extirpation using electrocautery.
Highlights
Sick sinus syndrome (SSS) is a generalized abnormality of cardiac impulse formation
We describe the management of a patient with SSS who required temporary pacing during general anesthesia for maxillofacial surgery
The medical doctor determined to need for a temporary pacing during general anesthesia because this patient have no subjective symptom at resting or on exercise and there were atrioventricular dissociation due to bradycardia all day, heart rate (HR) at 30 bpm range and cardiac arrest of last for 3 seconds or more all night in Holter ECG monitoring
Summary
Sick sinus syndrome (SSS) is a generalized abnormality of cardiac impulse formation. Abnormalities encompassed by this syndrome include sinus bradycardia, sinus arrest or exit block, combinations of sinoatrial and atrioventricular nodal conduction disturbances, and atrial tachyarrhythmias [1] [2]. The treatment for symptomatic bradyarrhythmias in patients with SSS is pacemaker placement [1]-[3]. We describe the management of a patient with SSS who required temporary pacing during general anesthesia for maxillofacial surgery. Written consent was obtained from the patient to publish this report
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