%0 Journal Article
%T Do Patients with Asymptomatic Congenital Complete Heart Block Require a Pacemaker for Non-Cardiac Surgery?
%A Barry Swerdlow
%J Open Journal of Anesthesiology
%P 130-135
%@ 2164-5558
%D 2018
%I Scientific Research Publishing
%R 10.4236/ojanes.2018.84014
%X The appropriate preparation of the patient with asymptomatic congenital complete heart block (CCHB) and a narrow QRS complex for elective non-cardiac surgery is controversial. Prophylactic temporary pacemaker insertion is associated with well-defined risks, and less invasive techniques exist to treat transient, hemodynamically significant intraoperative brady-arrhythmias. The present case report details the performance of general anesthesia for arthroscopic knee surgery in an adult patient with this condition without a pacemaker. Documentation of preoperative chronotropic competence with isoproterenol may be of value in deciding whether to proceed without temporary pacing capability in this setting.
%K Congenital Complete Heart Block
%K Pacemaker
%K Non-Cardiac Surgery
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=84257