• Anasthesiol Intensivmed Notfallmed Schmerzther · Mar 2001

    Case Reports

    [A patient with nodal tachycardia after general anesthesia during medication with a selective serotonin reuptake inhibitor].

    • R Kopp, O Kunitz, J H Baumert, and R Rossaint.
    • Klinik für Anästhesiologie des Universitätsklinikums der RWTH Aachen.
    • Anasthesiol Intensivmed Notfallmed Schmerzther. 2001 Mar 1; 36 (3): 184187184-7.

    AbstractWe report on a 62 year old female patient treated with paroxetine, a selective serotonin reuptake inhibitor, because of an anxiety neurosis undergoing a vaginal hysterectomy in general anesthesia. Apart from a dietary treated diabetes mellitus there were no other diseases. There were no complications during the operation. At the end of the anesthesia an A-V nodal tachycardia appeared which spontaneously changed to a sinus rhythm ten hours after the end of the operation. No clinical or laboratory findings indicated a cardiac ischemia and an additional Holter ECG-Recording showed no further cardiac arrhythmias. No other complications occurred afterwards and the patient was discharged after two weeks. This case report demonstrates clearly that despite a reduced rate of cardiovascular complications compared to other types of antidepressants selective serotonin reuptake inhibitors can lead to perioperative cardiac arrhythmias.

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