Ventricular fibrillation induced by coronary spasm during noncardiac surgery.
We report two cases of ventricular fibrillation during noncardiac surgery. Although an emergency coronary angiogram showed no significant coronary stenosis, coronary artery spasm was induced by the intracoronary injection of acetylcholine. It is possible that ventricular fibrillation is caused by coronary artery spasm during noncardiac surgery in patients without overt coronary artery disease.
Nii
T
T
Department of Internal Medicine, Karatsu Red Cross Hospital, Saga, Japan.
Noda
Y
Y
Mori
T
T
D000368:Aged; D003329:Coronary Vasospasm / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology; D004562:Electrocardiography; D005743:Gastrectomy / Q000009:adverse effects; D006801:Humans; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects; D011859:Radiography; D015635:Radionuclide Ventriculography; D013274:Stomach Neoplasms / Q000601:surgery; D013318:Stroke Volume; D013514:Surgical Procedures, Operative / Q000009:adverse effects*; D014516:Ureteral Neoplasms / Q000601:surgery; D014693:Ventricular Fibrillation / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology