Complete atrioventricular block during renal transplantation in a patient with Alport's syndrome: case report

Ferrari, Fábio; Nascimento, Paulo do; Vianna, Pedro Thadeu Galvão

doi:10.1590/s1516-31802001000500007

Cited by 9 publications

(4 citation statements)

References 12 publications

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“…Similarly, transient complete AV block during renal transplantation was reported by Ferrari et al. (7). They concluded that transient complete AV block may occur because of abnormalities in calcium metabolism leading to fibrosis in the conduction system or myocardial calcification.…”

Section: Discussionsupporting

confidence: 68%

Transient complete atrioventricular block during liver transplantation

Nişli

Öner

Yaren

et al. 2009

Pediatric Transplantation

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Intraoperative dysrhythmias commonly occur in the surgical management of congenital heart diseases. It may also be seen in other surgical procedures. The initiating factors for an arrhythmia during surgery is usually a transient insult such as hypoxemia, cardiac ischemia, catecholamine excess, electrolyte abnormality and acidosis. CAVB is a life-threatening dysrhythmia in all ages. We herein report a case of transient CAVB in a 30-month-old boy during living-related liver transplantation for bile duct paucity-associated liver cirrhosis. Moreover, we discuss the probable etiology and treatment of CAVB in liver transplantation.

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Section: Discussionsupporting

confidence: 68%

Transient complete atrioventricular block during liver transplantation

Nişli

Öner

Yaren

et al. 2009

Pediatric Transplantation

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“…71 Hyperkalaemia and calcium channel blockers may contribute to the development of complete AV block, as may epidural anaesthesia, with its attendant reduction in sympathetic activity. 41 Hypertension may be the primary cause of kidney disease or the result of renal parenchymal or renovascular disease. Arterial pressure control and block of the RAS are important in preserving residual function in patients with both diabetic and non-diabetic renal disease.…”

Section: Filler Equationmentioning

confidence: 99%

Recent developments in the perioperative management of adult patients with chronic kidney disease

Craig

Hunter

2008

British Journal of Anaesthesia

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The complications of chronic kidney disease (CKD) present the anaesthetist with a number of clinical challenges related in part to altered drug handling and to difficulties with vascular access and fluid balance. Safe anaesthetic management requires an understanding of CKD pathophysiology to prevent aggravation of pre-existing disease. This review will consider some recent changes in the management of adult patients with CKD as they affect the anaesthetist. It will consider medical problems associated with CKD together with new developments in perioperative management.

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“…CKD can lead to fibrosis and calcification of the cardiac conduction system by disrupting calcium metabolism and cause degenerative CSD. [ 19 ] Therefore, bradyarrhythmia can persist, although hyperkalemia was corrected. In addition, in about a fifth of patients with extrinsic etiology, hyperkalemia was accompanied by drug therapy.…”

Section: Discussionmentioning

confidence: 99%

Bedside Temporary Transvenous Pacemaker Insertion in the Emergency Department: Single-Center Experience

et al. 2021

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Objectives: Insertion of a temporary transvenous pacemaker (TTPM) is one of the life-saving interventions performed in the emergency department (ED). The aim of the study was to determine demographic, clinical characteristics, and in-hospital outcomes of patients who underwent TTPM insertion due to hemodynamically unstable bradyarrhythmia in the ED. Methods: In our study, 234 consecutive patients who underwent TTPM insertion at the bedside in the ED between January 2014 and October 2019 were included in the study. Etiological characteristics, electrocardiographic (ECG) findings, requirements for permanent pacemaker (PPM), and in-hospital mortality of the patients were analyzed retrospectively. Results: Extrinsic causes were the most common etiology of unstable bradyarrhythmia (57.6%). Most extrinsic causes were drug therapy-related factors (60.7%). Bradyarrhythmia persisted in 60% of patients after extrinsic causes were eliminated. The most common ECG finding was a high-degree atrioventricular block (62%). PPM was implanted in 44% of patients. In-hospital mortality rate was 19.7%. In the multivariate regression analysis, the left ventricular ejection fraction (LVEF) and diastolic blood pressure (DBP) measured at admission (p<0.001 and p<0.001, respectively) were determined to be independent predictors for in-hospital mortality. Conclusion: First diagnosis and intervention in the ED are of great importance for patients with unstable bradyarrhythmia. The fastest possible TTPM insertion in the ED can reduce mortality by reducing the exposure time to hypoperfusion of vital organs, especially in patients with reduced LVEF and low DBP. Furthermore, it should be kept in mind that an underlying latent conduction system disease can also be present in bradyarrhythmias thought to occur potentially due to extrinsic factors.

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Complete atrioventricular block during renal transplantation in a patient with Alport's syndrome: case report

Cited by 9 publications

References 12 publications

Transient complete atrioventricular block during liver transplantation

Transient complete atrioventricular block during liver transplantation

Recent developments in the perioperative management of adult patients with chronic kidney disease

Bedside Temporary Transvenous Pacemaker Insertion in the Emergency Department: Single-Center Experience

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