Recurrent intraoperative silent ST depression responding to phenylephrine

Intraoperative myocardial ischemia is attributed to decreased myocardial oxygen supply. We present an unusual case of recurrent, symptomless inferior wall ischemia in an apparently healthy male with no history of coronary artery disease after a spinal block. The recurring episodes were linked to tac...

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Detalles Bibliográficos
Autores principales: Singh, PM, Shah, Dipal, Trikha, Anjan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2012
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3511953/
https://www.ncbi.nlm.nih.gov/pubmed/23225936
http://dx.doi.org/10.4103/0970-9185.101944
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author Singh, PM
Shah, Dipal
Trikha, Anjan
author_facet Singh, PM
Shah, Dipal
Trikha, Anjan
author_sort Singh, PM
collection PubMed
description Intraoperative myocardial ischemia is attributed to decreased myocardial oxygen supply. We present an unusual case of recurrent, symptomless inferior wall ischemia in an apparently healthy male with no history of coronary artery disease after a spinal block. The recurring episodes were linked to tachycardia and presented with significant ST depression in Lead II with reciprocal elevation in lead aVL. The episodes responded to phenylephrine and subsided without residual sequelae.
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spelling pubmed-35119532012-12-05 Recurrent intraoperative silent ST depression responding to phenylephrine Singh, PM Shah, Dipal Trikha, Anjan J Anaesthesiol Clin Pharmacol Case Report Intraoperative myocardial ischemia is attributed to decreased myocardial oxygen supply. We present an unusual case of recurrent, symptomless inferior wall ischemia in an apparently healthy male with no history of coronary artery disease after a spinal block. The recurring episodes were linked to tachycardia and presented with significant ST depression in Lead II with reciprocal elevation in lead aVL. The episodes responded to phenylephrine and subsided without residual sequelae. Medknow Publications & Media Pvt Ltd 2012 /pmc/articles/PMC3511953/ /pubmed/23225936 http://dx.doi.org/10.4103/0970-9185.101944 Text en Copyright: © Journal of Anaesthesiology Clinical Pharmacology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Singh, PM
Shah, Dipal
Trikha, Anjan
Recurrent intraoperative silent ST depression responding to phenylephrine
title Recurrent intraoperative silent ST depression responding to phenylephrine
title_full Recurrent intraoperative silent ST depression responding to phenylephrine
title_fullStr Recurrent intraoperative silent ST depression responding to phenylephrine
title_full_unstemmed Recurrent intraoperative silent ST depression responding to phenylephrine
title_short Recurrent intraoperative silent ST depression responding to phenylephrine
title_sort recurrent intraoperative silent st depression responding to phenylephrine
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3511953/
https://www.ncbi.nlm.nih.gov/pubmed/23225936
http://dx.doi.org/10.4103/0970-9185.101944
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AT shahdipal recurrentintraoperativesilentstdepressionrespondingtophenylephrine
AT trikhaanjan recurrentintraoperativesilentstdepressionrespondingtophenylephrine

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