Recurrent intraoperative silent ST depression responding to phenylephrine

P. M. Singh; Dipal Shah; Anjan Trikha

doi:10.4103/0970-9185.101944

Recurrent intraoperative silent ST depression responding to phenylephrine

P. M. Singh, Dipal Shah, Anjan Trikha

Department of Anesthesiology and Perioperative Medicine

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

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 language	English (US)
Pages (from-to)	510-513
Number of pages	4
Journal	Journal of Anaesthesiology Clinical Pharmacology
Volume	28
Issue number	4
DOIs	https://doi.org/10.4103/0970-9185.101944
State	Published - Oct 2012

All Science Journal Classification (ASJC) codes

General Pharmacology, Toxicology and Pharmaceutics
Pharmacology (medical)
Anesthesiology and Pain Medicine

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10.4103/0970-9185.101944

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title = "Recurrent intraoperative silent ST depression responding to phenylephrine",

abstract = "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.",

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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.

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Recurrent intraoperative silent ST depression responding to phenylephrine

Abstract

All Science Journal Classification (ASJC) codes

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