在外科手术期间冠状动脉:一种潜在的血管动脉炎病例
Pedro Camões Correia1, Ana Leite1, Pedro Alves Marques1
1Anesthesiology, Centro Hospitalar Universitário de Coimbra, Coimbra, PRT.
Cureus
|October 4, 2023
概括
在全身麻醉期间冠状动脉是罕见的. 这一案例突出了麻醉和血管活性药物诱导的,成功用酸甘治疗,强调在手术期间对心脏进行监测.
科学领域:
- 心脏病学 心脏病学
- 麻醉学 麻醉学
- 血管医学 血管医学
背景情况:
- 普林兹金属的心痛包括冠状动脉,这是由于血管光滑肌肉过度反应引起的.
- 在全身麻醉期间冠状动脉很少被报告,但通过静止心痛和心电图或挑性测试来诊断.
- 这个病例涉及一个患有心血管风险因素的患者,他接受了动脉内关节切除术.
研究的目的:
- 描述一种罕见的冠状动脉的病例,是由全身麻醉引起的.
- 为了记录诊断过程和成功治疗麻醉诱导的冠状动脉.
- 为了强调手术过程中心脏监测的重要性.
主要方法:
- 一名58岁的男性患者经历了心肺呼吸停止在动脉内关节切除术后,以弗得林的管理.
- 在血管造形术期间观察到复发性心室动.
- 冠状动脉扫描记录了支架前和后的,用冠状动脉内酸甘逆转.
主要成果:
- 冠状动脉是由全身麻醉和血管活性药物诱导的.
- 通过血管造影记录,没有诱导性物质.
- 冠内酸甘有效地逆转了观察到的.
结论:
- 麻醉诱导的冠状动脉是潜在的并发症,特别是在患有心血管风险因素的患者中.
- 及时诊断和用酸盐和通道阻塞剂进行治疗至关重要.
- 在麻醉和手术期间持续监测心脏对于早期检测和管理至关重要.
相关概念视频
Angina I: Introduction
12
Definition and Symptoms: Angina (angina pectoris) is chest pain or discomfort caused by myocardial ischemia, which occurs when the heart muscle receives insufficient oxygen-rich blood. It typically manifests as pressing, squeezing, or crushing sensations in the chest and may radiate to the shoulders, arms, neck, jaw, or back.Primary Cause: In a healthy state, the coronary arteries can dilate (widen) to increase blood flow and meet the increased oxygen demand during physical activity or...
12
Angina II: Classification
7
Angina, also known as angina pectoris, is a chest pain resulting from diminished blood flow to the heart muscle and is often a symptom of coronary artery disease. Angina presents several variants with distinctive attributes, etiologies, and therapeutic approaches. The main types of angina include stable, unstable, variant (Prinzmetal's), microvascular, intractable, and silent ischemia.Stable angina is caused by atherosclerosis, which leads to the formation of plaques that narrow the coronary...
7
Vascular Spasm
1.5K
The vascular phase, also known as vasospasm, is the initial stage of hemostasis, crucial for preventing excessive bleeding when a blood vessel is injured. After a vessel is cut, nerves in the damaged area trigger pain and other sensory impulses. Simultaneously, the smooth muscles in the vessel wall contract, resulting in a vascular spasm. This contraction reduces the vessel's diameter at the injury site, slowing or stopping blood loss through the vessel wall. Vascular spasms typically last...
1.5K
Angina III: Clinical Manifestations and Assessment
9
Angina manifests as chest pain, tightness, or squeezing discomfort typically located behind the breastbone. It can radiate to the neck, jaw, shoulders, and inner aspects of the upper arms, most commonly the left arm. Patients may experience shortness of breath, fatigue, profuse sweating, dizziness, indigestion, heartburn, palpitations, anxiety, and vomiting as accompanying symptoms. This pain often lasts a few minutes and is triggered by physical exertion, emotional stress, heavy meals, or cold...
9
Angina V: Nursing Management
18
Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...
18
Acute Coronary Syndrome I: Introduction
30
Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
30


