Case Report : Atropine injection followed by coronary artery spasm with ventricular tachycardia during spinal anesthesia

Bradycardia may occur during spinal anesthesia with atropine commonly used as a treatment. A 44-year-old female with no known history of any underlying diseases, developed a coronary spasm following ventricular tachycardia when 0.5 mg of atropine was injected intravenously to treat bradycardia durin...

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Veröffentlicht in:Korean journal of anesthesiology 2013-07, Vol.65 (1), p.66
Hauptverfasser: Joon Ho Lee, Ji Hye Seok, Young Lok Kim, Ji Hyang Lee, Sang Gon Lee, Eun Ju Kim, Da Mi Seo
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container_title Korean journal of anesthesiology
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creator Joon Ho Lee
Ji Hye Seok
Young Lok Kim
Ji Hyang Lee
Sang Gon Lee
Eun Ju Kim
Da Mi Seo
description Bradycardia may occur during spinal anesthesia with atropine commonly used as a treatment. A 44-year-old female with no known history of any underlying diseases, developed a coronary spasm following ventricular tachycardia when 0.5 mg of atropine was injected intravenously to treat bradycardia during spinal anesthesia. The imbalance caused by atropine in the sympathovagal activity may predispose the coronary artery to develop spasms with ventricular tachycardia. Therefore prudent use of atropine should be accompanied by close monitoring.
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source KoreaMed Synapse; DOAJ Directory of Open Access Journals; PubMed Central Open Access; KoreaMed Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Atropine
Bradycardia
Coronary artery spasm
Spinal anesthesia
Ventricular tachycardia
title Case Report : Atropine injection followed by coronary artery spasm with ventricular tachycardia during spinal anesthesia
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