An anaphylactic reaction possibly associated with an intraoperative coronary artery spasm during general anesthesia - 03/09/11
: Associate Professor, Masahiko Chikamitsu, MD a : Resident, Motoko Kimura, MD a : Lecturer, Takashi Toriumi, MD a : Lecturer, Sumiko Endoh, MD a : Senior Resident, Atsuo Sari, MD a : Professor ChairmanAbstract |
We report a case of anaphylactic reaction occurring during general anesthesia that may have been accompanied by a coronary artery spasm. The present case and a review of the medical literature suggest that coronary artery spasm is evoked by common vasoactive mediators with anaphylactic reactions. Coronary artery spasm should be counted as a symptom of the cardiovascular manifestation of anaphylaxis. Clinicians should be aware of this possible complication when treating an anaphylactic reaction, especially in patients at risk for atherosclerosis. Early recognition of ST segment elevation is essential for diagnosis and treatment of coronary artery spasm.
Le texte complet de cet article est disponible en PDF.Keywords : Anaphylactic reaction, antibiotics, complication, coronary artery spasm
Plan
Vol 13 - N° 3
P. 221-226 - mai 2001 Retour au numéro
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