Coronary artery spasm during non‐cardiac surgical procedure
Coronary artery spasm during non‐cardiac surgical procedure
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非心脏外科手术期间的冠状动脉痉挛
DOI：
10.1111/j.1365-2044.1983.tb14032.x
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发表时间：
1983
期刊：
影响因子：
10.7
通讯作者：
E. Echter
中科院分区：
文献类型：
--
作者：
C. Briard;P. Coriat;P. Commin;A. Chollet;P. Menasche;E. Echter
报告了一例非心脏外科手术期间发生冠状动脉痉挛的病例。在全麻期间发生了两次11导联ST段抬高和aVF阵发性发作，但V5无变化。这些变化之前没有心率或动脉压的增加。第二次发作与室性二联律有关。该病例证明了在可能发生冠状动脉痉挛的患者中监测多个电极导线的重要性。硝酸甘油静脉滴注对第二次冠状动脉痉挛有效。然而，尽管以0.25 μg/kg min的速率静脉注射硝酸甘油，但仍发生了该事件。
A case of coronary artery spasm during a non‐cardiac surgical procedure is presented. Two paroxysmal episodes of ST segment elevation in lead 11 and aVF without changes in V5 developed during general anaesthesia. These changes were not preceded by increases in heart rate or arterial pressure. The second episode was associated with a ventricular bigeminal rhythm. This case demonstrates the importance of monitoring several leads in patients likely to develop per operative spasm of the coronary arteries. Intravenous nitroglycerin was effective in treating the second episode of coronary artery spasm. However, this episode occurred in spite of nitroglycerin administered intravenously at a rate of 0.25 μg/kg min.