Recurrent ST-segment elevation on ECG and ventricular tachycardia during neurosurgical anesthesia.
This article reports an unusual case of repeated intraoperative myocardial ischemia and ventricular arrhythmia during neurosurgical anesthesia. The presentation was clinically diagnosed as coronary spasm after successful resuscitation. Intraoperative prostaglandin E(1) and beta-adrenergic blockade, as well as vagal stimulation due to surgical manipulation, may have contributed to the episode.
Kotake
Yoshifumi
Y
Department of Anesthesiology, Toho University School of Medicine, 6-11-1 Ohmori-nishi, Ohta-ku, Tokyo, 143-8541, Japan.
Matsumoto
Midori
M
Yorozu
Tomoko
T
Takeda
Junzo
J
D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000527:Alprostadil / Q000627:therapeutic use; D000758:Anesthesia; D016887:Cardiopulmonary Resuscitation; D003329:Coronary Vasospasm / Q000503:physiopathology; D004558:Electric Stimulation; D004562:Electrocardiography; D005260:Female; D006801:Humans; D007022:Hypotension / Q000188:drug therapy; D002532:Intracranial Aneurysm / Q000601:surgery; D008875:Middle Aged; D019635:Neurosurgical Procedures; D012008:Recurrence; D017180:Tachycardia, Ventricular / Q000503:physiopathology*; D014630:Vagus Nerve / Q000502:physiology
D000319:Adrenergic beta-Antagonists; D000527:Alprostadil