title: Recurrent ST-segment elevation on ECG and ventricular tachycardia during neurosurgical anesthesia.
abstract: 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.
authors.affiliation: Department of Anesthesiology, Toho University School of Medicine, 6-11-1 Ohmori-nishi, Ohta-ku, Tokyo, 143-8541, Japan.
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Kotake
authors.forename: Midori
authors.initials: M
authors.lastname: Matsumoto
authors.forename: Tomoko
authors.initials: T
authors.lastname: Yorozu
authors.forename: Junzo
authors.initials: J
authors.lastname: Takeda
mesh_terms: 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
chemical_list: D000319:Adrenergic beta-Antagonists; D000527:Alprostadil