PMID: 6407354May 1, 1983Paper

Coronary artery spasm during non-cardiac surgical procedure

Anaesthesia
C BriardE Echter

Abstract

A case of coronary artery spasm during a non-cardiac surgical procedure is presented. Two paroxysmal episodes of ST segment elevation in lead 11 and aVF without changes in V5 developed during general anaesthesia. These changes were not preceded by increases in heart rate or arterial pressure. The second episode was associated with a ventricular bigeminal rhythm. This case demonstrates the importance of monitoring several leads in patients likely to develop peroperative spasm of the coronary arteries. Intravenous nitroglycerin was effective in treating the second episode of coronary artery spasm. However, this episode occurred in spite of nitroglycerin administered intravenously at a rate of 0.25 microgram/kg min.

References

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Citations

Sep 1, 1996·Journal of Clinical Anesthesia·M ImamuraT Kumazawa
Sep 13, 2003·Acta Anaesthesiologica Scandinavica·N AdachiT Arai
Oct 1, 1992·Journal of Anesthesia·T Okuda, K Wakita
May 1, 1998·Acta Anaesthesiologica Scandinavica·D Kindgen-MillesE E Müller
Jan 5, 2002·Journal of Neurosurgical Anesthesiology·Hûlya BilginBeklen Kerimoglu
Mar 1, 1995·Journal of Anesthesia·M KawamataA Namiki
Jul 1, 1992·Journal of Anesthesia·T AkataJ Yoshitake

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