[Complete heart block and myocardial ischaemia during a severe anaphylactic reaction].
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.
Rebet
O
O
Département d'anesthésie-réanimation, clinique de la Miséricorde, CHU de Caen, avenue de la Côte-de-Nacre, 14033 Caen, France.
Leclerc
C
C
Sillard
B
B
Barthélémy
S
S
Laroche
D
D
Vergnaud
M-C
MC
D000707:Anaphylaxis / Q000150:complications*; D006327:Heart Block / Q000209:etiology*; D017202:Myocardial Ischemia / Q000209:etiology*; D012720:Severity of Illness Index