Case Report : Atropine injection followed by coronary artery spasm with ventricular tachycardia during spinal anesthesia

Bradycardia may occur during spinal anesthesia with atropine commonly used as a treatment. A 44-year-old female with no known history of any underlying diseases, developed a coronary spasm following ventricular tachycardia when 0.5 mg of atropine was injected intravenously to treat bradycardia durin...

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Bibliographic Details
Published inKorean journal of anesthesiology Vol. 65; no. 1; pp. 66 - 70
Main Authors Joon Ho Lee, Ji Hye Seok, Young Lok Kim, Ji Hyang Lee, Sang Gon Lee, Eun Ju Kim, Da Mi Seo
Format Journal Article
LanguageKorean
Published 대한마취통증의학회(구 대한마취과학회) 30.07.2013
Subjects
Atropine
Bradycardia
Coronary artery spasm
Spinal anesthesia
Ventricular tachycardia
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Summary:Bradycardia may occur during spinal anesthesia with atropine commonly used as a treatment. A 44-year-old female with no known history of any underlying diseases, developed a coronary spasm following ventricular tachycardia when 0.5 mg of atropine was injected intravenously to treat bradycardia during spinal anesthesia. The imbalance caused by atropine in the sympathovagal activity may predispose the coronary artery to develop spasms with ventricular tachycardia. Therefore prudent use of atropine should be accompanied by close monitoring.
Bibliography:The Korean Society of Anesthesiologists
ISSN:2005-6419
2005-7563