Atropine injection followed by coronary artery spasm with ventricular tachycardia during spinal anesthesia: A case report.
10.4097/kjae.2013.65.1.66
- Author:
Joon Ho LEE
1
;
Ji Hye SEOK
;
Young Lok KIM
;
Ji Hyang LEE
;
Sang Gon LEE
;
Eun Ju KIM
;
Da Mi SEO
Author Information
1. Department of Anesthesiology and Pain Medicine, Daegu Fatima Hospital, Daegu, Korea. lovehan3@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Atropine;
Bradycardia;
Coronary artery spasm;
Spinal anesthesia;
Ventricular tachycardia
- MeSH:
Anesthesia, Spinal;
Atropine;
Bradycardia;
Coronary Vessels;
Female;
Humans;
Spasm;
Tachycardia, Ventricular
- From:Korean Journal of Anesthesiology
2013;65(1):66-70
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
