| Cardiac arrest induced by submucosal injection of epinephrine in a patient with variant angina. | |
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MedLine Citation:
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PMID: 20502771 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This case report describes a 35-year old male who experienced ventricular tachycardia induced by intramucosal injection of epinephrine (1:100,000). Under general anaesthesia with desflurane inhalation, 1.5% lidocaine containing 1:100,000 epinephrine was injected into the nasal mucosa for septoplasty. ST segment elevation and QRS widening occurred after 10 minutes and progressed to pulseless ventricular tachycardia. A sinus rhythm was restored after cardiopulmonary resuscitation with electrical cardioversion. The cardiac enzymes were significantly elevated after the event. Exercise-stress testing and coronary angiography were normal. However, an injection of acetylcholine into the coronary artery provoked vasospasm in the left anterior descending and circumflex arteries. This case illustrates an unusual response to low dose epinephrine with cardiac arrest induced in a patient with undiagnosed variant angina. |
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Authors:
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Ji Young Lee; Sung Jin Hong; Jin Young Chon; So Young Kwon |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-06-01 |
Journal Detail:
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Title: Rhinology Volume: 48 ISSN: 0300-0729 ISO Abbreviation: Rhinology Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-05-26 Completed Date: 2010-08-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0347242 Medline TA: Rhinology Country: Netherlands |
Other Details:
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Languages: eng Pagination: 251-3 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology and Pain Medicine, Catholic University of Korea College of Medicine, Seoul, Korea. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Angina Pectoris, Variant / complications*, diagnosis Cardiopulmonary Resuscitation Coronary Angiography Electrocardiography Epinephrine / administration & dosage, adverse effects* Exercise Test Heart Arrest / chemically induced* Humans Male Vasoconstrictor Agents / administration & dosage, adverse effects* |
| Chemical | |
Reg. No./Substance:
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0/Vasoconstrictor Agents; 51-43-4/Epinephrine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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