Cardiopulmonary arrest caused by coronary spasm after coronary vasodilator withdrawal during the peri-operative period of gastrectomy.
Intern Med
; 52(1): 81-4, 2013.
Article
em En
| MEDLINE
| ID: mdl-23291678
ABSTRACT
Calcium antagonists, nicorandil and long-acting nitrates are highly effective for preventing coronary spasm. The withdrawal of coronary vasodilators, especially calcium antagonists, is risky in cases of vasospastic angina. We herein present a case of cardiopulmonary arrest that occurred due to coronary spasm triggered by the discontinuation of coronary vasodilators during the peri-operative period of gastrectomy. Vasospastic angina patients who are not able to take oral coronary vasodilators in the peri-operative period should be maintained on a parenteral vasodilator until they are able to take them orally. Physicians should also be aware of the possible development of nitrate tolerance in patients on prolonged nitrate therapy.
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Base de dados:
MEDLINE
Assunto principal:
Vasodilatadores
/
Vasoespasmo Coronário
/
Suspensão de Tratamento
/
Gastrectomia
/
Parada Cardíaca
/
Angina Pectoris Variante
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article