Document Detail


Coronary vasospasm during anesthesia induction: awareness, recognition, possible mechanisms, anesthetic factors, and treatment.
MedLine Citation:
PMID:  18346615     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe a patient who developed severe ST-segment elevation, pulseless ventricular tachycardia, and cardiac arrest during induction of general anesthesia. This transient ST-segment elevation may have been the result of coronary artery spasm. Awareness of this variant of coronary artery vasospasm--Prinzmetal angina--in patients without clear symptoms or established ischemic heart disease, is the key to successful outcome. Recommended preparations and treatments are preoperative calcium channel blockers, nitroglycerin available intraoperatively, reduction of endogenous or exogenous catecholamines, and vigilant monitoring.
Authors:
Avner Sidi; Leif Dahleen; Achille Gaspardone
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Publication Detail:
Type:  Case Reports; Clinical Conference; Journal Article    
Journal Detail:
Title:  Journal of clinical anesthesia     Volume:  20     ISSN:  0952-8180     ISO Abbreviation:  J Clin Anesth     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-03-18     Completed Date:  2008-07-29     Revised Date:  2009-02-09    
Medline Journal Info:
Nlm Unique ID:  8812166     Medline TA:  J Clin Anesth     Country:  United States    
Other Details:
Languages:  eng     Pagination:  64-9     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, Sheba Medical Center, Tel-Hashomer 52621, Israel.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anesthesia, General / adverse effects*
Awareness
Coronary Angiography
Coronary Vasospasm / complications*,  drug therapy,  radiography
Death, Sudden, Cardiac / etiology*,  prevention & control
Humans
Male
Recognition (Psychology)
Treatment Outcome
Comments/Corrections
Comment In:
J Clin Anesth. 2008 Nov;20(7):562-3; author reply 563-4   [PMID:  19019657 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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