Recurrent intraoperative silent ST depression responding to phenylephrine

P. M. Singh, Dipal Shah, Anjan Trikha

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


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.

Original languageEnglish
Pages (from-to)510-513
Number of pages4
JournalJournal of Anaesthesiology Clinical Pharmacology
Issue number4
StatePublished - Oct 2012


  • Intraoperative myocardial infarction
  • intraoperative ST depression
  • phenylephrine for intraoperative myocardial infarction


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