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Coronary artery spasm with ventricular tachycardia after administration of methoxamine during cervical epidural anesthesia ‐ a case report
Author(s) -
Mizuyama K.,
Dohi S.,
Harukuni I.
Publication year - 1993
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/j.1399-6576.1993.tb03603.x
Subject(s) - medicine , methoxamine , anesthesia , thoracotomy , cardiology , artery , receptor , agonist
Coronary artery spasm occurred during thoracotomy under cervical epidural anesthesia in a 60‐year‐old male patient who had no prior history of myocardial ischemia. It is most likely that the administration of methoxamine induced the spasm. Hypotension and venodilatation induced by the epidural anesthesia and increased vagal tone might also contribute to the spasm.