[Bezold-Jarisch reflex in a patient undergoing endoscopic sympathectomy for management of refractory angina pectoris: a case report].

Revista brasileira de anestesiologia
Wendell Jackson de Macêdo CaldasCremilda Pinheiro Dias

Abstract

Ischemic cardiomyopathy is characterized by imbalance between supply and demand of myocardial oxygen. Endoscopic transthoracic sympathectomy is a therapeutic option indicated in refractory cases. However, the patient's position on the operating table may favor ischemic coronary events triggering the Bezold-Jarisch reflex. A female patient, 47 years old, with refractory ischemic cardiomyopathy, admitted to the operating room for endoscopic transthoracic sympathectomy, developed the Bezold-Jarisch reflex with severe bradycardia and hypotension after placement in semi-sitting position to the procedure. Bradyarrhythmia, hypotension, and asystole are complications potentially associated with patient placement in a semi-sitting position, particularly in cases with previous ischemic heart disease.

References

Aug 3, 2007·Interactive Cardiovascular and Thoracic Surgery·Martin StriteskyIvan Malek
Jul 24, 1965·British Medical Journal·D A BirkettE G Tuckwell

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Citations

Feb 4, 2021·European Heart Journal. Case Reports·Nimrah HossainSalman Haq

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