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  • Title: [Altered electrocardiogram during general anesthesia in a patient with intermittent Wolff-Parkinson-White conduction].
    Author: Isayama S, Ushijima K, Yano T, Terasaki H.
    Journal: Masui; 1998 Jun; 47(6):746-8. PubMed ID: 9691598.
    Abstract:
    A delta wave, which had not been detected in the preoperative electrocardiogram (ECG), was observed just before induction of anesthesia in a 53-year-old male scheduled for partial pancreatectomy. His ECG, diagnosed as intermittent Wolff-Parkinson-White (WPW) conduction, varied markedly displaying different wide QRS complexes with a short PR interval, and then returned abruptly to normal during anesthesia. WPW syndrome belongs to the category of pre-excitation syndromes, which is characterized by the accelerated abnormal conduction to the ventricle and paroxysmal tachyarrhythmias caused by an accessory pathway. We should consider the influence of anesthesia-related agents on atrioventricular conduction, and aim at preventing and managing tachyarrhythmias caused by this syndrome.
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