Coronary artery spasm induced under lumbar epidural anaesthesia.

Coronary artery spasm induced under lumbar epidural anaesthesia.
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腰硬膜外麻醉下诱发冠状动脉痉挛。

DOI:
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发表时间:
1995
影响因子:
3.6
通讯作者:
S. Takahashi
S. Takahashi
中科院分区:
医学2区
文献类型:
--
作者:
S. Hoka;K. Izumi;T. Matsukado;K. Matsuda;S. Takahashi

文献摘要

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本文报告一例术前腰椎硬膜外麻醉引起冠状动脉痉挛的病例。当患者主诉胸部不适时,同时发生了三次II导联ST段抬高的阵发性发作,但V5无变化。心脏交感神经的去神经支配似乎是容易发生此类事件的患者发作的主要原因。
A case of coronary artery spasm during lumbar epidural anaesthesia prior to surgery is presented. Three paroxysmal episodes of ST segment elevation in lead II without changes in V5 developed concomitantly when the patient complained of chest discomfort. A denervation of the cardiac sympathetic nerve seems to be the primary genesis of the attack in a patient prone to such events.