Coronary artery spasm as the probable cause of cardiac arrest immediately after the induction of spinal anesthesia: A case report
Anesthesia and Pain Medicine
; : 180-183, 2018.
Article
in En
| WPRIM
| ID: wpr-714058
Responsible library:
WPRO
ABSTRACT
A 72-year-old man underwent spinal anesthesia for artificial urinary sphincter placement for urinary incontinence. After the block level was confirmed below T6, 1 g of cefotetan, which had not shown any reaction on skin test, was administered as a prophylactic antibiotic. The patient began complaining of chest discomfort and dyspnea shortly after injection. ST elevation appeared on the electrocardiogram and the patient's pulse could not be palpated. Accordingly, cardiopulmonary resuscitation was performed for 5 minutes; the patient recovered spontaneous circulation. The patient was diagnosed as experienced coronary artery spasm by coronary angiography with spasm test. Because coronary artery spasm can also develop in patients with no history of coronary artery disease and under spinal anesthesia, careful observation, suspicion of coronary artery spasm and prompt response to hemodynamic and electrocardiogram changes are necessary.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Spasm
/
Thorax
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Urinary Incontinence
/
Coronary Artery Disease
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Skin Tests
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Cefotetan
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Urinary Sphincter, Artificial
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Coronary Angiography
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Cardiopulmonary Resuscitation
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Coronary Vasospasm
Limits:
Aged
/
Humans
Language:
En
Journal:
Anesthesia and Pain Medicine
Year:
2018
Type:
Article