Abstract:
:We present a patient who suffered two episodes of torsade de pointes ventricular tachycardia during general anaesthesia for abdominal surgery. The first occurred on suctioning of the tracheobronchial tree and the second while anaesthesia was light. Since ST segment elevation was in each case noted before the onset of torsade de pointes, coronary artery spasm was suspected to be the cause. An intravenous infusion of nitroglycerine was effective in treating and preventing these episodes. These findings suggest that coronary artery dilators such as nitroglycerine are indicated for initial treatment of torsade de pointes following coronary artery spasm in order to facilitate recovery from myocardial ischaemia.
journal_name
Anaesthesiajournal_title
Anaesthesiaauthors
Mizutani K,Toyoda Y,Kubota Hdoi
10.1111/j.1365-2044.1996.tb12617.xsubject
Has Abstractpub_date
1996-09-01 00:00:00pages
858-60issue
9eissn
0003-2409issn
1365-2044journal_volume
51pub_type
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