Recurrent syncope in a child and video assisted thoracoscopic surgery - The long and short of it

Long QT syndrome (LQTS) is a myocardial repolarisation disorder caused by cardiac ion channelopathy and one of its common presentations is recurrent syncope. This reduced repolarisation reserve in LQTS can be unmasked by perioperative factors like electrolyte imbalance, drugs, hypothermia and change...

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Autores principales: Kaur, Manpreet, Ramakumar, Nirupa, Yadav, Sangam, Subramaniam, Rajeshwari
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6798626/
https://www.ncbi.nlm.nih.gov/pubmed/31649398
http://dx.doi.org/10.4103/ija.IJA_180_19
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author Kaur, Manpreet
Ramakumar, Nirupa
Yadav, Sangam
Subramaniam, Rajeshwari
author_facet Kaur, Manpreet
Ramakumar, Nirupa
Yadav, Sangam
Subramaniam, Rajeshwari
author_sort Kaur, Manpreet
collection PubMed
description Long QT syndrome (LQTS) is a myocardial repolarisation disorder caused by cardiac ion channelopathy and one of its common presentations is recurrent syncope. This reduced repolarisation reserve in LQTS can be unmasked by perioperative factors like electrolyte imbalance, drugs, hypothermia and changes in cardiac autonomic tone. We report the anaesthetic management of left thoracoscopic sympathectomy in a 5-year-old child with LQTS and epicardial pacemaker in situ. It is very challenging to isolate the lung on one hand and prevent the predisposition to torsadogenic potential on the other.
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spelling pubmed-67986262019-10-24 Recurrent syncope in a child and video assisted thoracoscopic surgery - The long and short of it Kaur, Manpreet Ramakumar, Nirupa Yadav, Sangam Subramaniam, Rajeshwari Indian J Anaesth Case Report Long QT syndrome (LQTS) is a myocardial repolarisation disorder caused by cardiac ion channelopathy and one of its common presentations is recurrent syncope. This reduced repolarisation reserve in LQTS can be unmasked by perioperative factors like electrolyte imbalance, drugs, hypothermia and changes in cardiac autonomic tone. We report the anaesthetic management of left thoracoscopic sympathectomy in a 5-year-old child with LQTS and epicardial pacemaker in situ. It is very challenging to isolate the lung on one hand and prevent the predisposition to torsadogenic potential on the other. Wolters Kluwer - Medknow 2019-10 2019-10-10 /pmc/articles/PMC6798626/ /pubmed/31649398 http://dx.doi.org/10.4103/ija.IJA_180_19 Text en Copyright: © 2019 Indian Journal of Anaesthesia http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Kaur, Manpreet
Ramakumar, Nirupa
Yadav, Sangam
Subramaniam, Rajeshwari
Recurrent syncope in a child and video assisted thoracoscopic surgery - The long and short of it
title Recurrent syncope in a child and video assisted thoracoscopic surgery - The long and short of it
title_full Recurrent syncope in a child and video assisted thoracoscopic surgery - The long and short of it
title_fullStr Recurrent syncope in a child and video assisted thoracoscopic surgery - The long and short of it
title_full_unstemmed Recurrent syncope in a child and video assisted thoracoscopic surgery - The long and short of it
title_short Recurrent syncope in a child and video assisted thoracoscopic surgery - The long and short of it
title_sort recurrent syncope in a child and video assisted thoracoscopic surgery - the long and short of it
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6798626/
https://www.ncbi.nlm.nih.gov/pubmed/31649398
http://dx.doi.org/10.4103/ija.IJA_180_19
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AT yadavsangam recurrentsyncopeinachildandvideoassistedthoracoscopicsurgerythelongandshortofit
AT subramaniamrajeshwari recurrentsyncopeinachildandvideoassistedthoracoscopicsurgerythelongandshortofit

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