[Two cases of TURP syndrome with severe cardiovascular depression].
We report two cases of TURP (transurethral resection of prostate) syndrome showing severe cardiovascular depression without any neurological disturbances. One patient developed hypotension (62/42 mmHg) and ST segment depression (-2.7 mm) on ECG during TURP. Another patient developed hypotension (60/38 mmHg) and nodal bradycardia (34.min-1) 15 minutes after the operation. No neurological signs were observed, despite severe hyponatremia (113 and 117 mEq.l-1, respectively). It is highly likely that hypovolemia and/or electrophysiological inhibition of pacemaker cell due to hyponatremia caused the symptoms. We emphasize that sudden circulatory depression as well as neurological disorders should be recognized as a major symptom of TURP syndrome.
Shido
Akemi
A
Department of Anesthesiology, School of Medicine, Shimane Medical University, Izumo 693-8501.
Kasai
Mayu
M
Hashimoto
Tatsuya
T
Nomura
Takeshi
T
Sakura
Shinichi
S
Saito
Yoji
Y
D000368:Aged; D001919:Bradycardia / Q000209:etiology; D004562:Electrocardiography; D006801:Humans; D007010:Hyponatremia / Q000209:etiology*; D007022:Hypotension / Q000209:etiology*; D020896:Hypovolemia / Q000209:etiology; D007431:Intraoperative Complications / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D013577:Syndrome; D020728:Transurethral Resection of Prostate / Q000009:adverse effects*; D014869:Water Intoxication / Q000209:etiology