title: [Coronary artery spasm under general and epidural anesthesia].
abstract: A 66-year-old man without history of angina pectoris was scheduled for subtotal gastrectomy under epidural anesthesia supplemented with nitrous oxide and isoflurane. ECG showed an elevation of ST segment after hypotension. It passed into Wenckebach A-V block and complete A-V block. But an elevation of ST segment was relieved by raising blood pressure and it became sinus rhythm. Serum enzymes (CPK-MB, GOT and LDH) were normal after operation. It is suspected that coronary spasm was induced by hypotension and vagal stimulation under inadequate level of anesthesia, though we could not prove this arteriographically.
authors.affiliation: Department of Anesthesia, Iwate Prefectural Central Hospital, Morioka.
authors.forename: Y
authors.initials: Y
authors.lastname: Shimoda
authors.forename: O
authors.initials: O
authors.lastname: Kimura
authors.forename: Y
authors.initials: Y
authors.lastname: Miyate
authors.forename: R
authors.initials: R
authors.lastname: Takata
authors.forename: K
authors.initials: K
authors.lastname: Terui
authors.forename: H
authors.initials: H
authors.lastname: Saito
authors.forename: R
authors.initials: R
authors.lastname: Wakusawa
mesh_terms: D000368:Aged; D000767:Anesthesia, Epidural; D000769:Anesthesia, Inhalation; D003329:Coronary Vasospasm; D005743:Gastrectomy; D006801:Humans; D007530:Isoflurane; D008297:Male; D009609:Nitrous Oxide
chemical_list: D007530:Isoflurane; D009609:Nitrous Oxide