Importance of Preoperative ECG evaluation with regard to a case of long QT syndrome; Case report. UZAMI? QT SENDROMLU B?R OLGU I?I?INDA PREOPERAT?F EKG DE?ERLEND?RMES?N?N ?NEM?; Olgu sunumu.

摘要

Long QT syndrome is a rarely seen cardiac repolarization disorder that may cause elongated QT interval, recurrent syncope episodes, tachyarrhythmia and sudden death in structurally normal heart. Standard anesthesia procedure was administered for adenotonsillectomy to a 9-year-old, 25 kg boy after normal results in preoperative assessment. The follow up process in peroperative anesthesia was normal. One hour after the operation, his skin paled and subsequently cardiac arrest was developed. Long QT syndrome was diagnosed in the patient with ECG evaluation in pediatric cardiology consultation after resuscitation. As a conclusion, preoperative ECG evaluation should again be a routine procedure. ?ZET Uzun QT sendromu (UQTS) yap?sal olarak normal olan kalpte uzam?? QT aral???, tekrarlayan senkop ataklar?, ta?iaritmiler ve ani ?lüme neden olan nadir g?rülen bir kardiak repolarizasyon bozuklu?udur. Dokuz ya??nda, 25 kg olan erkek ?ocuk hastaya normal preoperatif de?erlendirme sonras? adenotonsillektomi ameliyat? i?in standart anestezi uyguland?. Peroperatif anestezi takibi ola?an seyretti. Hasta postoperatif 1. saatte aniden cilt renginde solukla?may? takiben kardiyorespiratuar arrest geli?ti. Resüsitasyonla kardiyak ritmi geri d?nen hastaya pediatrik kardiyoloji konsültasyonu sonucu EKG incelemesinde uzun Q-T Sendromu tan?s? konuldu. Sonu? olarak, preoperatif EKG’nin rutin prosedüre girmesinin yeniden de?erlendirilmesi gerekti?i dü?ünülmelidir.