000 02215nam a22002537a 4500
999 _c10261
_d10261
001 ANES 2017 0003
003 PILC
005 20240720152934.0
008 171025b xxu||||| |||| 00| 0 eng d
040 _beng
_cFEU-NRMF MEDICAL LIBRARY
_erda
041 _aenglish
050 _aANES 2017 0003
245 _aPerioperative bradycardia and asystole in a 50 year old athletic female who underwent total abdominal hysterectomy, bilateral salpingo-oophorectomy under continuous lumbar epidural anesthesia /
_cThera Janick L. Ramirez.
260 _aFairview, Quezon City:
_bDepartment of Anesthesiology, FEU-NRMF,
_c2017.
300 _btables;
_c(in folder) +
_ewith CD (soft copy).
336 _atext
_2rdacontent
337 _aunmediated
_2rdamedia
338 _avolume
_2rdacarrier
504 _aIncludes bibliographical references.
520 _aAbstract: There is aunique electrical manifestationassociated with regular and long term participation in intensive exercise, minimum of 4 hours per week, that reflect increased vagal tone and enlarged cardiac chamber size, often observed in athletes. Athletic bradycardia is often ignored because these ECG findings in athletes are considered normal, and physiological adaptations to regular exercise do not require further evaluation1.Common consequences of increased vagal tone include sinus bradycardia and sinus arrhythmia. This is a case of a 50 year old female diagnosed with myoma uteri, who underwent TAHBSO under continuous lumbar epidural anesthesia. She worked as a fitness instructor, with previous episodes of syncope and has a baseline heart rate of 40s to 50s beats per minute. During induction, she had loss of consciousness associated with sinus bradycardia and later on, to asystole which lasted for 3 seconds, with return to baseline heart rate after administration of atropine and ephedrine. The objectives of this report are: 1. To explain the physiological changes in the cardiovascular system of a physically active individual. 2. To explain the possible association of athletic bradycardia to vasovagal syncope in this particular patient.
521 _aRESDA
700 _aRamirez, Thera Janick L., MD.
_eauthor
942 _2lcc
_cRU