Takeyama Kazuhide, Sakamoto Reinii, Yoshikawa Masanobu, Suzuki Toshiyasu
1-1 Tatenodai, Hadano, Kanagawa 257-0017, Japan.
Tokai J Exp Clin Med. 2014 Mar 20;39(1):10-3.
We report a case of first-degree atrioventricular (A-V) block progressing to second-degree (Wenckebach-type) A-V block after administration of indigo carmine in a patient undergoing hysterectomy under general anesthesia. We believe that the onset of Wenckebach-type A-V block may have been induced by one or more of three factors: 1) preoperative first-degree A-V block, 2) the anesthetics used (propofol and remifentanil), and 3) administration of indigo carmine.
