title: [Complete heart block and myocardial ischaemia during a severe anaphylactic reaction].
abstract: An 83-year-old man had to be operated under general anaesthesia for a head skin tumor. The preanaesthetic exam of the cardiovascular function was reassuring but a cardiac arrest with a complete heart block occurred a few minutes after induction of anaesthesia. Resuscitation managing was successful but a myocardial ischaemia appeared. Biological tests confirmed severe anaphylactic reaction. The electrocardiographic expression, pathophysiology and management of cardiac anaphylaxis are discussed.
authors.affiliation: Département d'anesthésie-réanimation, clinique de la Miséricorde, CHU de Caen, avenue de la Côte-de-Nacre, 14033 Caen, France.
authors.forename: O
authors.initials: O
authors.lastname: Rebet
authors.forename: C
authors.initials: C
authors.lastname: Leclerc
authors.forename: B
authors.initials: B
authors.lastname: Sillard
authors.forename: S
authors.initials: S
authors.lastname: Barthélémy
authors.forename: D
authors.initials: D
authors.lastname: Laroche
authors.forename: M-C
authors.initials: MC
authors.lastname: Vergnaud
mesh_terms: D000707:Anaphylaxis / Q000150:complications*; D006327:Heart Block / Q000209:etiology*; D017202:Myocardial Ischemia / Q000209:etiology*; D012720:Severity of Illness Index