| Electrocardiographic changes during cesarean section under regional anesthesia. | |
MedLine Citation:
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PMID: 1734798 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
Authors:
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A J McLintic; S D Pringle; S Lilley; A B Houston; J Thorburn |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Anesthesia and analgesia Volume: 74 ISSN: 0003-2999 ISO Abbreviation: Anesth. Analg. Publication Date: 1992 Jan |
Date Detail:
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Created Date: 1992-03-03 Completed Date: 1992-03-03 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 1310650 Medline TA: Anesth Analg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 51-6 Citation Subset: AIM; IM |
Affiliation:
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Department of Anesthesia, Western Infirmary, Glasgow, Scotland. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anesthesia, Conduction* Anesthesia, Obstetrical* Bupivacaine* Cesarean Section* Coronary Disease / etiology Echocardiography Electrocardiography* Female Hemodynamics Humans Monitoring, Intraoperative / methods Pregnancy Risk Factors |
| Chemical | |
Reg. No./Substance:
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2180-92-9/Bupivacaine |
| Comments/Corrections | |
Comment In:
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Anesth Analg. 1993 Feb;76(2):457
[PMID:
8369027
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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