Coronary artery spasm occurring in the setting of the oculocardiac reflex.
The oculocardiac reflex (OCR) occurs in up to 90% of ophthalmological surgeries. Several preventive and treatment strategies have been described. Coronary artery spasm (CAS) plays an important role in the pathogenesis of variant angina and myocardial infarction. We describe an unusual case of a perioperative myocardial infarction due to CAS that occurred in the setting of the treatment of the OCR. We offer insight aimed at minimizing the deleterious effects of the OCR and its management.
Department of Anesthesiology, Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI 48202, USA. hkroll1@hfhs.org
Henry R
HR
Kroll
Vivek
V
Arora
David
D
Vangura
D000328:Adult; D000768:Anesthesia, General; D003329:Coronary Vasospasm / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D004562:Electrocardiography; D006801:Humans; D007431:Intraoperative Complications / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D009203:Myocardial Infarction / Q000503:physiopathology / Q000628:therapy; D011654:Pulmonary Edema / Q000150:complications / Q000000981:diagnostic imaging; D011859:Radiography; D012024:Reflex, Oculocardiac / Q000502:physiology*; D013285:Strabismus / Q000601:surgery