Ranitidine-Induced Bradycardia in a Patient With Dextrocardia

Yang, Junping; Russell, Douglas; Bourdeau, J. E.

doi:10.1097/00000441-199609000-00008

Cited by 5 publications

(2 citation statements)

References 16 publications

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“…[8] Conversely, a case of prolonged paralysis following the use of succinylcholine has been reported in a patient with situs inversus totalis secondary to anticholinesterase deficiency[9] and ranitidine-induced bradycardia in a patient with dextrocardia. [10]…”

Section: Discussionmentioning

confidence: 99%

Dextrocardia and ventricular septal defect with situs inversus: Anesthetic implications and management

2012

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The patients with complicated congenital heart diseases are reaching adulthood with advances in corrective surgeries and medical management. Impact of anesthetic agents on complex cardiac and extra cardiac anomalies and presence of previous palliative procedures can be a challenge for the anesthesiologist perioperatively, while these patients present for cardiac/noncardiac surgeries. We report the perioperative management of a patient with ventricular septal defect, dextrocardia, pulmonary hypertension, and situs inversus who underwent a successful hernioplasty and hydrocelectomy with a combined spinal epidural anesthesia. This discussion relates to the anesthetic management in such conditions with a special reference to Kartagener's syndrome.

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Section: Discussionmentioning

confidence: 99%

Dextrocardia and ventricular septal defect with situs inversus: Anesthetic implications and management

2012

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“…1,2 When administered intravenously, ranitidine has been reported to cause severe bradycardia, and atrioventricular block. [3][4][5][6] The underlying mechanism involves the action on the H2 receptors at the sinus node and atrial tissue in the heart. 7,8 Through these receptors, they exert positive chronotropic and inotropic effects on the heart.…”

Section: Discussionmentioning

confidence: 99%

An Extremely Rare Side Effect of Ranitidine: Junctional Rhythm

Dedeoglu¹,

Uzun

Bayram³

et al. 2011

Hong Kong j. emerg. med.

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Ranitidine is a H2 receptor blocker and rarely cause bradycardia. A 28 years old male patient attended the emergency department for urticaria. He was given 45 mg of phenyramine and 50 mg of ranitidine intravenously. He then complained of dizziness and developed bradycardia and hypotension. Electrocardiogram detected junctional bradycardia rhythm. He was given 0.5 mg atropine intravenously and his rhythm then returned to normal. His symptoms subsided and the blood pressure improved. Ranitidine is a frequently used medication and this case illustrated a rare but serious side-effect of the medication.

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Maturation of Motor Function in the Preterm Infant and Gastroesophageal Reflux

Hibbs¹

2012

Gastroenterology and Nutrition: Neonatology Questions and Controversies

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Ranitidine-Induced Bradycardia in a Patient With Dextrocardia

Cited by 5 publications

References 16 publications

Dextrocardia and ventricular septal defect with situs inversus: Anesthetic implications and management

Dextrocardia and ventricular septal defect with situs inversus: Anesthetic implications and management

An Extremely Rare Side Effect of Ranitidine: Junctional Rhythm

Maturation of Motor Function in the Preterm Infant and Gastroesophageal Reflux

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