| Cardiopulmonary Arrest Caused by Coronary Spasm after Coronary Vasodilator Withdrawal during the Peri-operative Period of Gastrectomy. | |
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MedLine Citation:
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PMID: 23291678 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Calcium antagonists, nicorandil and long-acting nitrates are highly effective for preventing coronary spasm. The withdrawal of coronary vasodilators, especially calcium antagonists, is risky in cases of vasospastic angina. We herein present a case of cardiopulmonary arrest that occurred due to coronary spasm triggered by the discontinuation of coronary vasodilators during the peri-operative period of gastrectomy. Vasospastic angina patients who are not able to take oral coronary vasodilators in the peri-operative period should be maintained on a parenteral vasodilator until they are able to take them orally. Physicians should also be aware of the possible development of nitrate tolerance in patients on prolonged nitrate therapy. |
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Authors:
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Manabu Kurabayashi; Kaoru Okishige; Mitsutoshi Asano; Hidetoshi Suzuki; Tsukasa Shimura; Shinsuke Iwai; Nobutaka Kato; Kensuke Ihara; Hideshi Aoyagi; Mitsuaki Isobe |
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Publication Detail:
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Type: Journal Article Date: 2013-01-01 |
Journal Detail:
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Title: Internal medicine (Tokyo, Japan) Volume: 52 ISSN: 1349-7235 ISO Abbreviation: Intern. Med. Publication Date: 2013 |
Date Detail:
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Created Date: 2013-01-07 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9204241 Medline TA: Intern Med Country: Japan |
Other Details:
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Languages: eng Pagination: 81-4 Citation Subset: IM |
Affiliation:
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Division of Cardiology, Yokohama City Minato Red Cross Hospital, Japan. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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