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Preoperative hypoglycaemia, propranolol and the Jervell and Lange-Nielsen syndrome.

The Jervell and Lange-Nielsen syndrome is an autosomal recessive trait characterized by deafness and electrocardiographic changes. These changes include prolongation of the QT interval and T-wave inversion. Treatment may include the use of beta-blockers to prevent the development of malignant ventricular arrhythmias and sudden death. We report a patient with this syndrome, who was receiving propranolol orally and who became hypoglycaemic during the preoperative fasting period prior to cochlear implantation.[1]

References

  1. Preoperative hypoglycaemia, propranolol and the Jervell and Lange-Nielsen syndrome. Baines, D.B., Murrell, D. Paediatric anaesthesia. (1999) [Pubmed]
 
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