Skip Navigation
Skip to contents

KMJ : Kosin Medical Journal

OPEN ACCESS
SEARCH
Search

Author index

Page Path
HOME > Browse articles > Author index
Search
Gyeong-Jo Byeon 2 Articles
Persistent Complete Atrioventricular Block after Induction of General Anesthesia in a Healthy Patient
Gyeong-Jo Byeon, Hye-Jin Kim, Hyun-Su Ri, Su Sung Lee, Hee Young Kim
Kosin Med J. 2019;34(1):65-71.   Published online June 30, 2019
DOI: https://doi.org/10.7180/kmj.2019.34.1.65
  • 1,361 View
  • 6 Download
Abstract PDFPubReader   ePub   

A 38-year-old female patient had bradycardia in the preoperative electrocardiogram (ECG), and she showed severe bradycardia, with the heart rate (HR) under 40 beats per minute (bpm) even after arrival in the operating room. Immediately after endotracheal intubation, ventricular tachycardia with HR over 200 bpm occurred, but it disappeared voluntarily. The surgery was postponed for additional cardiac evaluation because of the persistent severe bradycardia. On postanesthesia day 2, complete atrioventricular (AV) block appeared. We expected spontaneous recovery over 2 weeks, but the complete AV block persisted. A permanent pacemaker was eventually inserted, and the patient was discharged without other complications on day 4 after insertion of the pacemaker. We report this case because complete AV block has commonly occurred in patients with risk factors such as first AV block, secondary AV block, or bundle branch block, but complete AV block has occurred despite the absence of arrhythmia in this patient.

Total intravenous anesthesia using remimazolam for patients with heart failure with reduced ejection fraction: a case series
Jimin Lee, Ji-Uk Yoon, Gyeong-Jo Byeon, Hong-Sik Shon, Ahhyeon Yi, Hee Young Kim
Received December 16, 2023  Accepted April 3, 2024  Published online April 16, 2024  
DOI: https://doi.org/10.7180/kmj.23.156
  • 0 View
  • 0 Download
Abstract PubReader   ePub   
Patients with heart failure undergoing surgery that requires general anesthesia face substantial perioperative risks; however, clear guidelines are not available for anesthesia management in patients with a reduced left ventricular ejection fraction. Traditional intravenous and volatile anesthetics require careful administration to prevent severe hypotension and bradycardia in patients with heart failure. Remimazolam has emerged as a promising alternative to conventional anesthetics because of its reduced cardiovascular depressive effects. We present three cases illustrating the successful use of remimazolam to induce and maintain general anesthesia in patients with heart failure and reduced cardiac function. Our cases demonstrate the safe use of remimazolam for general anesthesia in patients with heart failure and a reduced ejection fraction.

KMJ : Kosin Medical Journal