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Coronary artery spasm during non-cardiac surgical procedure

  1. C. BRIARD,
  2. P. CORIAT,
  3. P. COMMIN,
  4. A. CHOLLET,
  5. P. MENASCHE,
  6. E. ECHTER

Article first published online: 22 FEB 2007

DOI: 10.1111/j.1365-2044.1983.tb14032.x

Issue

Anaesthesia

Anaesthesia

Volume 38, Issue 5, pages 467–470, May 1983

Additional Information

How to Cite

BRIARD, C., CORIAT, P., COMMIN, P., CHOLLET, A., MENASCHE, P. and ECHTER, E. (1983), Coronary artery spasm during non-cardiac surgical procedure. Anaesthesia, 38: 467–470. doi: 10.1111/j.1365-2044.1983.tb14032.x

Author Information

  1. C. Briard, MD, Staff Anaesthetist, P. Coriat, MD, Assistant Professor of Anaesthesia, P. Commin, MD, A. Chollet, MD, Staff Anaesthetists, E. Echler, Professor of Anaesthesia, Department of Anaesthesia, P. Menasche, MD, Assistant Professor of Cardiovascular Surgery, Department of Cardiovascular Surgery, Hôpital Lariboisiere, 75475 Paris, France.

Publication History

  1. Issue published online: 22 FEB 2007
  2. Article first published online: 22 FEB 2007

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Keywords:

  • Heart; electrocardiography, nitroglycerin

Summary

A case of coronary artery spasm during a non-cardiac surgical procedure is presented. Two paroxysmal episodes of ST segment elevation in lead 11 and aVF without changes in V5 developed during general anaesthesia. These changes were not preceded by increases in heart rate or arterial pressure. The second episode was associated with a ventricular bigeminal rhythm. This case demonstrates the importance of monitoring several leads in patients likely to develop per operative spasm of the coronary arteries. Intravenous nitroglycerin was effective in treating the second episode of coronary artery spasm. However, this episode occurred in spite of nitroglycerin administered intravenously at a rate of 0.25 μg/kg min.

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