| Angiographic documentation of coronary artery spasm induced by anesthesia. | |
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MedLine Citation:
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PMID: 20339883 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Many cases of coronary artery spasm during regional or general anesthesia have been reported. To our knowledge, for the first time we report a case of coronary artery spasm induced by general anesthesia that was documented by immediate angiography and treated with intracoronary nitroglycerine. A 68-year-old female was to undergo elective cholecystectomy. General anesthesia was induced by propofol 140 mg, fentanyl 50 microg, and vecuronium bromide 7 mg. Immediately after intubation sudden hypotension (60/40 mmHg) and marked ST-segment elevation on the monitor were noticed. A 12-lead electrocardiogram demonstrated marked ST-segment elevations in inferior leads with reciprocal changes. An immediate diagnostic coronary angiography showed diffuse severe narrowing of the right coronary artery with a non-critical plaque in the midportion. After intracoronary administration of nitroglycerine 0.2 mg into the right coronary artery, there was marked diffuse vasodilatation. A diagnosis of variant angina was made and 2 days of hospital course was uneventful. The patient was discharged taking diltiazem 120 mg two times daily, aspirin 100 mg daily and isosorbidemononitrate 60 mg daily. |
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Authors:
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Ender Ornek; Dilsen Ornek; Sani Namik Murat; Murat Turfan |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-03-26 |
Journal Detail:
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Title: Journal of anesthesia Volume: 24 ISSN: 1438-8359 ISO Abbreviation: J Anesth Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-06-14 Completed Date: 2010-09-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8905667 Medline TA: J Anesth Country: Japan |
Other Details:
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Languages: eng Pagination: 452-5 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Etlik Ihtisas Education and Research Hospital, Halil Sezai Erkut Caddesi Etlik, Ankara, Turkey. ender_ornek@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Anesthesia, General / adverse effects* Angina Pectoris / drug therapy, radiography Cholecystectomy Coronary Angiography / methods* Coronary Vasospasm / chemically induced*, radiography* Electrocardiography Female Humans Hypertension / complications Intraoperative Complications / chemically induced*, drug therapy, radiography* Monitoring, Intraoperative Nitroglycerin / therapeutic use Vasodilator Agents / therapeutic use |
| Chemical | |
Reg. No./Substance:
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0/Vasodilator Agents; 55-63-0/Nitroglycerin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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