Recurrent ST-segment elevation on ECG and ventricular tachycardia during neurosurgical anesthesia
Yoshifumi Kotake1, Midori Matsumoto, Tomoko Yorozu
1Department of Anesthesiology, Toho University School of Medicine, 6-11-1 Ohmori-nishi, Ohta-ku, Tokyo, 143-8541, Japan.
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.
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