title: Atropine injection followed by coronary artery spasm with ventricular tachycardia during spinal anesthesia -A case report-.
abstract: Bradycardia may occur during spinal anesthesia with atropine commonly used as a treatment. A 44-year-old female with no known history of any underlying diseases, developed a coronary spasm following ventricular tachycardia when 0.5 mg of atropine was injected intravenously to treat bradycardia during spinal anesthesia. The imbalance caused by atropine in the sympathovagal activity may predispose the coronary artery to develop spasms with ventricular tachycardia. Therefore prudent use of atropine should be accompanied by close monitoring.
authors.affiliation: Department of Anesthesiology and Pain Medicine, Daegu Fatima Hospital, Daegu, Korea.
authors.forename: Joon-Ho
authors.initials: JH
authors.lastname: Lee
authors.forename: Ji-Hye
authors.initials: JH
authors.lastname: Seok
authors.forename: Young-Lok
authors.initials: YL
authors.lastname: Kim
authors.forename: Ji-Hyang
authors.initials: JH
authors.lastname: Lee
authors.forename: Sang-Gon
authors.initials: SG
authors.lastname: Lee
authors.forename: Eun-Ju
authors.initials: EJ
authors.lastname: Kim
authors.forename: Da-Mi
authors.initials: DM
authors.lastname: Seo
keywords: Atropine; Bradycardia; Coronary artery spasm; Spinal anesthesia; Ventricular tachycardia
references.citation: Korean J Anesthesiol. 2009 Mar;56(3):273-279
references.pmid: 30625735
references.citation: Am J Ther. 2010 Sep-Oct;17(5):e175-8
references.pmid: 19535970
references.citation: Pacing Clin Electrophysiol. 1997 Oct;20(10 Pt 1):2371-7
references.pmid: 9358475
references.citation: N Engl J Med. 1972 Aug 17;287(7):336-8
references.pmid: 5041702
references.citation: Br J Anaesth. 1980 Sep;52(9):945-9
references.pmid: 7437231
references.citation: Acta Anaesthesiol Scand. 2000 Jan;44(1):48-52
references.pmid: 10669271
references.citation: Am J Med Sci. 1959 Mar;237(3):304-18 passim
references.pmid: 13626971
references.citation: Anesthesiology. 1992 Jun;76(6):906-16
references.pmid: 1599111
references.citation: Indian Heart J. 1981 Nov-Dec;33(6):301-2
references.pmid: 7341405