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Ventricular arrhythmia in patients with prolonged QT interval during liver transplantation: two cases report.

Authors
 Min Soo Kim  ;  Na Young Kim  ;  Ji Eun Park  ;  Soon Ho Nam 
Citation
 Korean Journal of Anesthesiology, Vol.67(6) : 416-420, 2014 
Journal Title
 Korean Journal of Anesthesiology 
ISSN
 2005-6419 
Issue Date
2014
Abstract
QT interval prolongation is associated with an increased risk of ventricular arrhythmia in various conditions. Cardiac electrophysiologic abnormalities including QT interval prolongation are well documented in patients with advanced liver cirrhosis. We report two cases of patients with QT interval prolongation on preoperative electrocardiography who exhibited repetitive ventricular arrhythmias with significant hemodynamic deterioration during liver transplantation. For the treatment and prevention of ventricular arrhythmias during the intraoperative period, we performed intravenous administration of lidocaine and isoproterenol, corrected imbalances of electrolytes including potassium and magnesium, and prepared a defibrillator. These cases emphasize that preoperative recognition of QT interval prolongation and adequate management to prevent fatal arrhythmias are important in patients undergoing liver transplantation.
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DOI
10.4097/kjae.2014.67.6.416
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Na Young(김나영) ORCID logo https://orcid.org/0000-0003-3685-2005
Kim, Min Soo(김민수) ORCID logo https://orcid.org/0000-0001-8760-4568
Nam, Soon Ho(남순호)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/138539
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