Atropine injection followed by coronary artery spasm with ventricular tachycardia during spinal anesthesia -A case report-

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 durin...

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Detalles Bibliográficos
Autores principales: Lee, Joon-Ho, Seok, Ji-Hye, Kim, Young-Lok, Lee, Ji-Hyang, Lee, Sang-Gon, Kim, Eun-Ju, Seo, Da-Mi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Anesthesiologists 2013
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3726850/
https://www.ncbi.nlm.nih.gov/pubmed/23904942
http://dx.doi.org/10.4097/kjae.2013.65.1.66
Descripción
Sumario: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.

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