Key result
A 47-year-old male experienced severe hypotension and cardiovascular collapse due to coronary spasm during recovery from combined spinal epidural anesthesia, which was successfully treated.
Case Report (n=1)
Coronary spasm should be considered as a potential cause of severe hypotension and cardiovascular collapse during recovery from regional anesthesia.
Coronary spasm warrants consideration in unexplained post-regional anesthesia collapse; this case leaves open its incidence and prevention.
In order that anesthesiologists may reduce the anesthetic and surgical stress on the heart, they frequently use regional anesthesia in patients with coronary artery disease, even though there is no evidence that it reduce the incidence of myocardial ischemia. We report a case of life-threatening cardiovascular collapse that occurred in a 47 years old male patient at the emergence from regional anesthesia.He underwent open reduction and internal fixation for femur fracture under combined spinal epidural anesthesia.The cause of serious hypotension is suspected of myocardial ischemia on the basis of ST segment elevation on EKG. We considered that these cardiovascular events were due to coronary spasm.The possible inducing factors of coronary spasm were altered autonomic balance and arteriosclerotic change related endothelial dysfunction.
No takes yet. Share an insight, caveat, or question.
Hwang et al. (2008) conducted a case report in Severe hypotension and cardiovascular collapse due to coronary spasm (n=1). Combined spinal epidural anesthesia was evaluated on Severe hypotension and cardiovascular collapse. A 47-year-old male experienced severe hypotension and cardiovascular collapse due to coronary spasm during recovery from combined spinal epidural anesthesia, which was successfully treated.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: