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Case Report 
RMJ. 2020; 45(2): 497-499


Sudden onset of ventricular bigeminy just before induction of anesthesia in child

Sehun Kim, Myoungjin Ko, Nakyung Lee, Yonghan Kim, Sangeun Lee, Daeseok Oh.

Abstract
There are many causes of premature ventricular contractions in pediatric patients with structurally or functionally normal hearts. We report a case of a pediatric patient who suddenly developed ventricular bigeminy during the pre-induction period for general anesthesia. Predisposing heart disease was evaluated by urgent cardiac consultation and the cause of the transient ventricular bigeminy was traced to preoperative anxiety. The child was successfully managed with non-pharmacological preparation. We emphasize that physicians should ruminate on PVCs related to anxiety just before induction and conduct a timely, adequate work-up to exclude underlying cardiac pathology in pediatric patients.

Key words: Ventricular premature complexes, anxiety, pediatrics.


 
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How to Cite this Article
Pubmed Style

Kim S, Ko M, Lee N, Kim Y, Lee S, Oh D. Sudden onset of ventricular bigeminy just before induction of anesthesia in child. RMJ. 2020; 45(2): 497-499.


Web Style

Kim S, Ko M, Lee N, Kim Y, Lee S, Oh D. Sudden onset of ventricular bigeminy just before induction of anesthesia in child. http://www.rmj.org.pk/?mno=80878 [Access: May 10, 2020].


AMA (American Medical Association) Style

Kim S, Ko M, Lee N, Kim Y, Lee S, Oh D. Sudden onset of ventricular bigeminy just before induction of anesthesia in child. RMJ. 2020; 45(2): 497-499.



Vancouver/ICMJE Style

Kim S, Ko M, Lee N, Kim Y, Lee S, Oh D. Sudden onset of ventricular bigeminy just before induction of anesthesia in child. RMJ. (2020), [cited May 10, 2020]; 45(2): 497-499.



Harvard Style

Kim, S., Ko, . M., Lee, . N., Kim, . Y., Lee, . S. & Oh, . D. (2020) Sudden onset of ventricular bigeminy just before induction of anesthesia in child. RMJ, 45 (2), 497-499.



Turabian Style

Kim, Sehun, Myoungjin Ko, Nakyung Lee, Yonghan Kim, Sangeun Lee, and Daeseok Oh. 2020. Sudden onset of ventricular bigeminy just before induction of anesthesia in child. Rawal Medical Journal, 45 (2), 497-499.



Chicago Style

Kim, Sehun, Myoungjin Ko, Nakyung Lee, Yonghan Kim, Sangeun Lee, and Daeseok Oh. "Sudden onset of ventricular bigeminy just before induction of anesthesia in child." Rawal Medical Journal 45 (2020), 497-499.



MLA (The Modern Language Association) Style

Kim, Sehun, Myoungjin Ko, Nakyung Lee, Yonghan Kim, Sangeun Lee, and Daeseok Oh. "Sudden onset of ventricular bigeminy just before induction of anesthesia in child." Rawal Medical Journal 45.2 (2020), 497-499. Print.



APA (American Psychological Association) Style

Kim, S., Ko, . M., Lee, . N., Kim, . Y., Lee, . S. & Oh, . D. (2020) Sudden onset of ventricular bigeminy just before induction of anesthesia in child. Rawal Medical Journal, 45 (2), 497-499.








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