Coronary artery spasm induced under lumbar epidural anaesthesia.
A case of coronary artery spasm during lumbar epidural anaesthesia prior to surgery is presented. Three paroxysmal episodes of ST segment elevation in lead II without changes in V5 developed concomitantly when the patient complained of chest discomfort. A denervation of the cardiac sympathetic nerve seems to be the primary genesis of the attack in a patient prone to such events.
Hoka
S
S
Department of Anesthesiology and Critical Care Medicine, Kyushu University, Fukuoka, Japan.
Izumi
K
K
Matsukado
T
T
Matsuda
K
K
Takahashi
S
S
D000328:Adult; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D000779:Anesthetics, Local / Q000009:adverse effects*; D001794:Blood Pressure / Q000187:drug effects; D003329:Coronary Vasospasm / Q000209:etiology*; D004562:Electrocardiography / Q000187:drug effects; D006329:Heart Conduction System / Q000187:drug effects; D006339:Heart Rate / Q000187:drug effects; D006801:Humans; D008159:Lumbar Vertebrae; D008297:Male; D008619:Mepivacaine / Q000009:adverse effects*; D013564:Sympathetic Nervous System / Q000187:drug effects
D000779:Anesthetics, Local; D008619:Mepivacaine