Rapid reversal of global left ventricular dysfunction after accidental injection of 0.75 mg epinephrine in a 20-year-old patient

Acta Anaesthesiologica Scandinavica
E MeaudreB Palmier

Abstract

We report an accidental injection of epinephrine before spinal anaesthesia in a 20-year-old patient who subsequently developed immediate myocardial ischemia and global left ventricular dysfunction (ejection fraction of 20%). Hemodynamic status dramatically improved after nitroglycerin, calcium antagonists, acetyl salicylic acid and unfractionated heparin injections. Over 24 h, patient's ejection fraction fully recovered without kinetic abnormality.

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Citations

Jun 11, 2009·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Ivan V LitvinovSven Wassmann
Mar 21, 2009·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Yasukatsu IzumiHiroshi Iwao
Sep 22, 2005·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·M J Taneli VäyrynenMarkku J Kuisma
Jun 26, 2013·Revista española de anestesiología y reanimación·H D de Boer, L H D J Booij
Feb 7, 2018·Pediatric Emergency Care·Maya Caroline André, Jürg Hammer

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