High Grade Atrioventricular Block during Cesarean Section under General Anesthesia in a Parturient with Mobitz Type I Atrioventricular Block: A case report.

Lee,  Hae Jin; Chon,  Jin Young; Oh,  Yong Seog; Kim,  Na Hyun

doi:2006.51.5.641

Case Report

Korean Journal of Anesthesiology 2006;51(5):641-643.
DOI: https://doi.org/10.4097/kjae.2006.51.5.641

High Grade Atrioventricular Block during Cesarean Section under General Anesthesia in a Parturient with Mobitz Type I Atrioventricular Block: A case report.

Hae Jin Lee, Jin Young Chon, Yong Seog Oh, Na Hyun Kim

¹Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. anestha@catholic.ac.kr
²Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Abstract

This report is presented in which an asymptomatic parturient with Mobitz I second degree heart block developed high grade heart block during cesarean section under general anesthesia with enflurane. Progression of the block might be associated with vagal reflex. The event in this case suggests that the patients with pre-existing heart block may be a risk factor for development of high grade atrioventricular block during general anesthesia and surgery.

Key Words: anesthesia; atrioventricular block; heart; Mobitz; obstetric