• Anesthesia and analgesia · Feb 2013

    Case Reports

    Case report: Perioperative pacemaker-mediated tachycardia in the patient with a dual chamber implantable cardioverter-defibrillator.

    • Igor Izrailtyan, Robin J Schiller, Robert I Katz, and Ibrahim O Almasry.
    • Department of Anesthesiology, Stony Brook University Medical Center, HSC L-4, Room 060, Stony Brook, NY 11794, USA. Igor.Izrailtyan@stonybrookmedicine.edu
    • Anesth. Analg.. 2013 Feb 1;116(2):307-10.

    AbstractPatients with cardiac implantable electronic devices are at additional risk for arrhythmias while undergoing surgical procedures. In this case report, we present a patient with a dual chamber implantable cardioverter-defibrillator who developed intraoperative pacemaker-mediated tachycardia causing significant hemodynamic instability. Management of this arrhythmia can be particularly challenging, because standard application of a magnet does not affect the pacing functions of an implantable cardioverter-defibrillator. Awareness by the anesthesiologist and timely coordination with the cardiac electrophysiology team helped to optimize care for this patient.

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