Key result
Perioperative management using total intravenous anesthesia and nicorandil infusion successfully prevented ventricular fibrillation in a patient with vasospastic angina and possible long QT syndrome.
Case Report (n=1)
No
Careful perioperative management using total intravenous anesthesia and nicorandil successfully prevented ventricular fibrillation in a patient with vasospastic angina and possible long QT syndrome who had a history of intraoperative cardiac arrest.
Supports cautious individualized anesthesia in suspected coronary spasm or long QT; leaves open broader efficacy in prospective studies.
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YOSHIOKA et al. (2021) conducted a case report in Vasospastic angina and possible long QT syndrome with a history of intraoperative ventricular fibrillation (n=1). Anesthesia management (propofol, fentanyl, rocuronium, nicorandil infusion) was evaluated on Occurrence of ventricular fibrillation or major complications. Perioperative management using total intravenous anesthesia and nicorandil infusion successfully prevented ventricular fibrillation in a patient with vasospastic angina and possible long QT syndrome.
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