ST-Segment Elevation: One Sign, Many Shadows

ST-segment elevation in patients sedated with propofol may be a sign of imminent malignant arrhythmias. Although propofol infusion syndrome-electrocardiographic abnormalities are usually described as Brugada-pattern, in unique cases nearly ubiquitous and extensive J-point and ST-segment elevation ma...

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Detalles Bibliográficos
Autores principales: Bergonti, Marco, Saenen, Johan, Heidbuchel, Hein, Sarkozy, Andrea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Ecg Teaching Competition
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8414421/
https://www.ncbi.nlm.nih.gov/pubmed/34505070
http://dx.doi.org/10.1016/j.jaccas.2021.05.023
Descripción
Sumario:ST-segment elevation in patients sedated with propofol may be a sign of imminent malignant arrhythmias. Although propofol infusion syndrome-electrocardiographic abnormalities are usually described as Brugada-pattern, in unique cases nearly ubiquitous and extensive J-point and ST-segment elevation may be observed. These patients should undergo an ajmaline test following recovery. (Level of Difficulty: Beginner.)

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