Document Detail

Cardiopulmonary Arrest Caused by Coronary Spasm after Coronary Vasodilator Withdrawal during the Peri-operative Period of Gastrectomy.
MedLine Citation:
PMID:  23291678     Owner:  NLM     Status:  In-Data-Review    
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.
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:
Type:  Journal Article     Date:  2013-01-01
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  52     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2013  
Date Detail:
Created Date:  2013-01-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  81-4     Citation Subset:  IM    
Division of Cardiology, Yokohama City Minato Red Cross Hospital, Japan.
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