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Case Reports
. 2009;23(1):115-8.
doi: 10.1007/s00540-008-0691-6. Epub 2009 Feb 22.

Recurrent ST-segment elevation on ECG and ventricular tachycardia during neurosurgical anesthesia

Yoshifumi Kotake  1 , Midori Matsumoto, Tomoko Yorozu, Junzo Takeda
Affiliations
Case Reports

Recurrent ST-segment elevation on ECG and ventricular tachycardia during neurosurgical anesthesia

Yoshifumi Kotake et al. J Anesth. 2009.

Abstract

This article reports an unusual case of repeated intraoperative myocardial ischemia and ventricular arrhythmia during neurosurgical anesthesia. The presentation was clinically diagnosed as coronary spasm after successful resuscitation. Intraoperative prostaglandin E(1) and beta-adrenergic blockade, as well as vagal stimulation due to surgical manipulation, may have contributed to the episode.

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