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Canadian Journal of Anesthesia, Vol 39, 173-175, Copyright © 1992 by Canadian Anesthesiologists' Society

ARTICLES

Progression of first degree heart block to high-grade second degree block during spinal anaesthesia

CM Bernards and NJ Hymas
Department of Anesthesiology, University of Washington, Seattle 98195.

A case is presented in which a patient with pre-existing first degree heart block developed high-grade second degree heart block during spinal anaesthesia. Progression of the block was associated with blockade of cardiac sympathetic neurons induced by spinal anaesthesia. This suggests that patients with pre-existing heart block may be at increased risk for development of higher grade block during spinal anaesthesia.


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Copyright © 1992 by the Canadian Anesthesiologists' Society.