Document Detail

Electrocardiographic changes during cesarean section under regional anesthesia.
MedLine Citation:
PMID:  1734798     Owner:  NLM     Status:  MEDLINE    
To determine electrocardiographic changes and whether myocardial ischemia occurs during cesarean section, electrocardiograms were recorded continuously using Holter monitoring in 25 patients undergoing elective cesarean section under either spinal or epidural anesthesia. In addition, in 13 of the patients, two-dimensional precordial echocardiography was carried out before and during cesarean section. ST segment depression suggestive of myocardial ischemia occurred in 16 patients including 8 of the 13 with echocardiograms. Wall motion remained entirely normal during episodes of ST segment depression. Patients in whom ST depression developed had significantly more rapid heart rates at delivery than those who did not experience ST depression. We conclude that ST segment depression is a common feature of the electrocardiogram during cesarean section under regional anesthesia and is not the result of myocardial ischemia.
A J McLintic; S D Pringle; S Lilley; A B Houston; J Thorburn
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Anesthesia and analgesia     Volume:  74     ISSN:  0003-2999     ISO Abbreviation:  Anesth. Analg.     Publication Date:  1992 Jan 
Date Detail:
Created Date:  1992-03-03     Completed Date:  1992-03-03     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  1310650     Medline TA:  Anesth Analg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  51-6     Citation Subset:  AIM; IM    
Department of Anesthesia, Western Infirmary, Glasgow, Scotland.
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MeSH Terms
Anesthesia, Conduction*
Anesthesia, Obstetrical*
Cesarean Section*
Coronary Disease / etiology
Monitoring, Intraoperative / methods
Risk Factors
Reg. No./Substance:
Comment In:
Anesth Analg. 1993 Feb;76(2):457   [PMID:  8369027 ]

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