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Canadian Journal of Anesthesia, Vol 38, 345-346, Copyright © 1991 by Canadian Anesthesiologists' Society

ARTICLES

Anaesthetic-induced ventricular tachyarrhythmia in Jervell and Lange-Nielsen syndrome

Y Adu-Gyamfi, A Said, UM Chowdhary, A Abomelha and SK Sanyal
Department of Anaesthesiology, King Faisal University, College of Medicine, Dammam, Saudi Arabia.

A four-year-old deaf girl with a history of convulsions developed polymorphous ventricular tachycardia during induction of anaesthesia. The arrhythmia reverted to sinus rhythm spontaneously. Post-anaesthetic ECG showed marked prolongation of the QTc interval (570-690 msec). Deafness and prolonged QTc interval in association with microcytic-hypochromic anaemia confirmed the diagnosis of the Jervell and Lange-Nielsen syndrome. This case report highlights the potentially lethal complication of halothane anaesthesia in patients with long QTc interval syndrome.


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Copyright © 1991 by the Canadian Anesthesiologists' Society.