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Heart rate fell into the 20s during surgery

Posted on 5/21/23 at 5:01 am
Posted by SmelvinRat
Slumwoody
Member since Oct 2015
1397 posts
Posted on 5/21/23 at 5:01 am
I had sinus surgery in late April, and on my one week follow-up, the first thing my surgeon told me was that during the surgery my heart rate dropped into the 20s. She seemed serious/concerned (that's her general personality usually) -that the epinephrine they gave me took some time to raise my heart rate. The anesthesiologist apparently was ready to scrub the surgery, but waited to see. It eventually rose to an acceptable level and they completed the surgery.

I went to my primary care physician (he was somewhat concerned), and he had me wear a heart monitor for a week (no problems detected) and I have an echo scheduled for this week.

Anyone ever have this happen to them? Any doctors here that have any insight?

I am continuing to follow-up with my primary, especially for future surgical procedures. I am a bit rattled by this.
Posted by Popths
Baton Rouge
Member since Aug 2016
3968 posts
Posted on 5/21/23 at 8:39 am to
I had the complete opposite. I’ve had 9 surgeries and this last one, I went into AFIB. Scared the hell out of the doctor. Followed up with my cardiologist and they eventually decided it had to be a situational condition. At least I can warn any doctors in case I get another surgery.
Posted by LSUA 75
Colfax,La.
Member since Jan 2019
3705 posts
Posted on 5/21/23 at 2:26 pm to
Not a Dr. but I would recommend seeing an Electrocardiologist.They are cardiologist s with specialized training in heart rate/rhythm disturbances.
Posted by PropofolPapi
Louisiana
Member since Nov 2012
1467 posts
Posted on 5/21/23 at 3:04 pm to
It happens sometimes. Just be glad your anesthesia provider gave the epi time to work and you were still able to have the procedure. We all respond differently to anesthesia medications and gases. Just be sure to mention it to the anesthesia team prior to any future procedures so they can plan accordingly
This post was edited on 5/21/23 at 9:33 pm
Posted by SmelvinRat
Slumwoody
Member since Oct 2015
1397 posts
Posted on 5/21/23 at 3:47 pm to
Thanks for the replys. I 'm pretty sure they will be able to narrow it down through process of elimination. I just have another procedure coming up, and it looks like I will have to postpone it until they feel comfortable with my condition and factoring that into the equation.
Posted by caro81
Member since Jul 2017
4903 posts
Posted on 5/21/23 at 6:07 pm to
its kind of hard to know exactly what went on without knowing which preanesthetic and anesthetics they gave you. It sounds like this was all pre-op not intra-op. if your echo/ekg consult all comes back normal i would want to know your liver and kidney functions

that all comes back normal.....i kinda want to lean toward either a bad drug reaction which happens....or anesthesia fugged up and gave you a wrong dose of something.
Posted by lofty
Member since Dec 2019
404 posts
Posted on 5/21/23 at 6:13 pm to
It happens. Let ur team know beforehand they can give you a med to raise the hr a bit to prevent the bradycardia intraop.
Posted by NewOrleansBlend
Member since Mar 2008
1012 posts
Posted on 5/21/23 at 6:31 pm to
I would listen to the guy with propofol in his user name. I wouldn’t sweat it
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