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Repetitive Junctional Rhythm during Forehead-lift Surgery-A Case Report

前額整形拉皮手術引發反覆性房室交界心律之病例報告

摘要


前額整形拉皮手術一般認為是一種相當安全,且少有併發症的手術。雖然曾有文獻提及類似手術偶爾會造成心搏過慢等心律不整,反覆性房室交界心律卻從未被提及。本篇病例首次報告在前額整形拉皮手術中,引發反覆性房室交界心律,並討論其可能成因及處理原則。

並列摘要


Forehead lift plastic surgery is regarded as a rather safe operation without serious cardiovascular complications. Although cardiac arrhythmias (e.g., sinus bradycardia) during such an esthetically plastic surgery have been sporadically reported in literature, repetitive junctional rhythm has not ever been recounted. In this case report, we present a 45-year-old woman who developed repetitive junctional rhythm during forehead lift plastic surgery. The possible offenders causative of the arrhythmia (e.g., oculocardiac reflex induced by repeated surgical manipulation) and the principle of perioperative management were discussed in the text.

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