perinatologyРоссийский вестник перинатологии и педиатрииRossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics)1027-40652500-2228Ltd. “The National Academy of Pediatric Science and Innovation”10.21508/1027-4065-2022-67-1-112-119perinatology-1588Research ArticleКЛИНИЧЕСКИЕ СЛУЧАИCLINICAL CASESИнтраоперационная манифестация синдрома слабости синусного узла у ребенка 8 месяцевIntraoperative manifestation of sick sinus syndrome in an eight-month-old childhttps://orcid.org/0000-0003-4200-4598ЗахароваИ. Н.ZakharovaI. N.

Захарова Ирина Николаевна — д.м.н., проф., зав. кафедрой педиатрии им. академика Г.Н. Сперанского 

Moscow

https://orcid.org/0000-0002-0058-3803ПшеничниковаИ. И.PshenichnikovaI. I.

Пшеничникова Ирина Игоревна — к.м.н., асс. кафедры педиатрии 

Moscow

PshenichnikovaII@rmapo.ruhttps://orcid.org/0000-0001-5249-1452ТвороговаТ. М.TvorogovaT. M.

Творогова Татьяна Михайловна — к.м.н., доц. кафедры педиатрии

125993 Москва, ул. Баррикадная, д. 2/1, стр. 1

Moscow

ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава РоссииРоссияRussian Medical Academy of Continuous Professional EducationRussian Federation202208042022671112119Copyright © Ltd. “The National Academy of Pediatric Science and Innovation”, 20222022Ltd. “The National Academy of Pediatric Science and Innovation”Ltd. “The National Academy of Pediatric Science and Innovation”https://www.ped-perinatology.ru/jour/about/submissions#copyrightNoticehttps://www.ped-perinatology.ru/jour/article/view/1588

Синдром слабости синусного узла характеризуется постепенно прогрессирующим дефицитом ритмоводящей функции синусного узла и может длительно не проявляться клинически. Во время анестезии и/или оперативного вмешательства он может впервые проявиться в виде выраженной, рефрактерной к атропину брадикардии или внезапной асистолии. В приведенном клиническом наблюдении описана интраоперационная манифестация синдрома слабости синусного узла у мальчика 8 мес. Проведен анализ опубликованных данных по ведению хирургических пациентов с нарушением функции синусного узла.

Sick sinus syndrome is characterized by a gradually progressive deficit in the function of the sinus node and may not manifest itself clinically for a long time. During anesthesia and/or surgery, it may first appear in the form of severe, atropine-refractory bradycardia or sudden asystole. The presented clinical case describes the intraoperative manifestation of sick sinus syndrome in an eightmonth-old boy. The analysis of published data on the management of surgical patients with sinus node dysfunction was carried out.

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The authors declare that there are no conflicts of interest present.