Cardiovascular Pharmacology: Open Access

Abstract

Atropine-Induced Bigeminy by Treating Bradycardia-Dependent Ectopy

Ramón Eizaga Rebollar, María Victoria García Palacios, Javier Morales Guerrero and Luis Miguel Torres Morera

We report the case of a 9-year-old healthy boy who underwent day-surgery herniotomy under combined general and regional anesthesia. After inhalational induction, borderline bradycardia with Premature Ventricular Contractions (PVCs) was observed in ECG tracing, which worsened despite the adequate anesthetic management to avoid and treat arrhythmogenic triggers. Subsequent diagnostic tests were performed to rule out underlying heart disease. Thereby, we conduct a brief review of ventricular ectopy in children with structurally normal hearts, both in the clinical and perioperative setting; and finally linked to our case in order to find out the cause of the abnormal electrical activity.