[Myocardial infarction during postoperative peridural analgesia with opiates].
A case of postoperative myocardial infarction is reported. It occurred seven days after intra-abdominal surgery (left hemicolectomy), in a patient with coronary heart disease. Diagnosis was delayed because of lack of pain; it was suggested by cardiogenic shock occurring 48 h after the initial phase. The patient had been receiving postoperative epidural analgesia with an opioid (pethidine); this may explain the pain was missing, so delaying the diagnosis.
D000698:Analgesia; D002277:Carcinoma / Q000601:surgery*; D005260:Female; D006801:Humans; D007268:Injections, Epidural; D008614:Meperidine; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology*; D012770:Shock, Cardiogenic / Q000209:etiology*; D012811:Sigmoid Neoplasms / Q000601:surgery*
D008614:Meperidine
Infarctus myocardique au cours d'une analgésie péridurale postopératoire aux opiacés.