Profound Coronary Vasospasm Associated with Intraoperative Ketamine Administration: A Case Report

We report a case of a 62-year-old woman with a decade-long history of atypical chest pain resulting in a largely negative cardiac workup, who developed significant angiographically demonstrated coronary vasospasm thought to be due to a small dose of intravenous ketamine. In patients with a history o...

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Bibliographic Details
Published inA&A practice Vol. 18; no. 5; p. e01786
Main Authors Perez, Richard K, Lighthall, Geoffrey
Format Journal Article
LanguageEnglish
Published United States 01.05.2024
Subjects
Chest Pain - chemically induced
Coronary Angiography
Coronary Vasospasm - chemically induced
Female
Humans
Ketamine - administration & dosage
Ketamine - adverse effects
Middle Aged
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Summary:We report a case of a 62-year-old woman with a decade-long history of atypical chest pain resulting in a largely negative cardiac workup, who developed significant angiographically demonstrated coronary vasospasm thought to be due to a small dose of intravenous ketamine. In patients with a history of atypical chest pain despite a reassuring cardiac evaluation, providers should carefully consider medications that may precipitate coronary vasospasm and be prepared to treat it accordingly.
ISSN:2575-3126
DOI:10.1213/XAA.0000000000001786