TY - JOUR
T1 - Recurrent intraoperative silent ST depression responding to phenylephrine
AU - Singh, P. M.
AU - Shah, Dipal
AU - Trikha, Anjan
PY - 2012/10
Y1 - 2012/10
N2 - Intraoperative myocardial ischemia is attributed to decreased myocardial oxygen supply. We present an unusual case of recurrent, symptomless inferior wall ischemia in an apparently healthy male with no history of coronary artery disease after a spinal block. The recurring episodes were linked to tachycardia and presented with significant ST depression in Lead II with reciprocal elevation in lead aVL. The episodes responded to phenylephrine and subsided without residual sequelae.
AB - Intraoperative myocardial ischemia is attributed to decreased myocardial oxygen supply. We present an unusual case of recurrent, symptomless inferior wall ischemia in an apparently healthy male with no history of coronary artery disease after a spinal block. The recurring episodes were linked to tachycardia and presented with significant ST depression in Lead II with reciprocal elevation in lead aVL. The episodes responded to phenylephrine and subsided without residual sequelae.
KW - Intraoperative myocardial infarction
KW - intraoperative ST depression
KW - phenylephrine for intraoperative myocardial infarction
UR - http://www.scopus.com/inward/record.url?scp=84869827864&partnerID=8YFLogxK
U2 - 10.4103/0970-9185.101944
DO - 10.4103/0970-9185.101944
M3 - Article
C2 - 23225936
AN - SCOPUS:84869827864
SN - 0970-9185
VL - 28
SP - 510
EP - 513
JO - Journal of Anaesthesiology Clinical Pharmacology
JF - Journal of Anaesthesiology Clinical Pharmacology
IS - 4
ER -