Severe Hypotension Caused by Coronary Spasm during Recovery from Combined Spinal Epidural Anesthesia: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
; : 343-346, 2008.
Article
em Ko
| WPRIM
| ID: wpr-151684
Biblioteca responsável:
WPRO
ABSTRACT
In order that anesthesiologists may reduce the anesthetic and surgical stress on the heart, they frequently use regional anesthesia in patients with coronary artery disease, even though there is no evidence that it reduce the incidence of myocardial ischemia. We report a case of life-threatening cardiovascular collapse that occurred in a 47 years old male patient at the emergence from regional anesthesia. He underwent open reduction and internal fixation for femur fracture under combined spinal epidural anesthesia.The cause of serious hypotension is suspected of myocardial ischemia on the basis of ST segment elevation on EKG. We considered that these cardiovascular events were due to coronary spasm.The possible inducing factors of coronary spasm were altered autonomic balance and arteriosclerotic change related endothelial dysfunction.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Espasmo
/
Doença da Artéria Coronariana
/
Incidência
/
Isquemia Miocárdica
/
Eletrocardiografia
/
Fêmur
/
Coração
/
Hipotensão
/
Anestesia por Condução
Tipo de estudo:
Incidence_studies
/
Prognostic_studies
Limite:
Humans
/
Male
Idioma:
Ko
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2008
Tipo de documento:
Article