Document Detail

Coronary artery spasm occurring in the setting of the oculocardiac reflex.
MedLine Citation:
PMID:  20526723     Owner:  NLM     Status:  MEDLINE    
The oculocardiac reflex (OCR) occurs in up to 90% of ophthalmological surgeries. Several preventive and treatment strategies have been described. Coronary artery spasm (CAS) plays an important role in the pathogenesis of variant angina and myocardial infarction. We describe an unusual case of a perioperative myocardial infarction due to CAS that occurred in the setting of the treatment of the OCR. We offer insight aimed at minimizing the deleterious effects of the OCR and its management.
Henry R Kroll; Vivek Arora; David Vangura
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-06-05
Journal Detail:
Title:  Journal of anesthesia     Volume:  24     ISSN:  1438-8359     ISO Abbreviation:  J Anesth     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-08     Completed Date:  2011-01-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8905667     Medline TA:  J Anesth     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  757-60     Citation Subset:  IM    
Department of Anesthesiology, Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI 48202, USA.
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MeSH Terms
Anesthesia, General
Coronary Vasospasm / etiology*,  radiography,  therapy*
Intraoperative Complications / physiopathology,  therapy*
Myocardial Infarction / physiopathology,  therapy
Pulmonary Edema / complications,  radiography
Reflex, Oculocardiac / physiology*
Strabismus / surgery

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