Coronary spasm during outpatient fiberoptic laser bronchoscopy

被引:5
作者
Matot, I
Drenger, B
Glantz, L
Kramer, MR
机构
[1] Hadassah Univ, Sch Med, Dept Anesthesiol & Crit Care Med, Jerusalem, Israel
[2] Hadassah Univ, Sch Med, Inst Pulmonol, Jerusalem, Israel
关键词
coronary spasm; fiberoptic bronchoscopy; myocardial ischemia;
D O I
10.1378/chest.115.6.1744
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
A 63-year-old woman with metastatic breast cancer was referred to our bronchoscopy unit for outpatient laser resection of an endobronchial mass through fiberoptic bronchoscopy. The patient had no history of ischemic heart disease. During the procedure, the patient developed an ST-segment elevation and a complete atrioventricular block, IV nitroglycerin and morphine were effective in treating this episode. In this patient, we were able to demonstrate a focal spasm by postbronchoscopy coronary angiography.
引用
收藏
页码:1744 / 1746
页数:3
相关论文
共 8 条
  • [1] CARDIAC-ARRHYTHMIAS - FREQUENCY DURING FIBEROPTIC BRONCHOSCOPY AND CORRELATION WITH HYPOXEMIA
    KATZ, AS
    MICHELSON, EL
    STAWICKI, J
    HOLFORD, FD
    [J]. ARCHIVES OF INTERNAL MEDICINE, 1981, 141 (05) : 603 - 606
  • [2] ASSOCIATION OF PERIOPERATIVE MYOCARDIAL-ISCHEMIA WITH CARDIAC MORBIDITY AND MORTALITY IN MEN UNDERGOING NONCARDIAC SURGERY
    MANGANO, DT
    BROWNER, WS
    HOLLENBERG, M
    LONDON, MJ
    TUBAU, JF
    TATEO, IM
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1990, 323 (26) : 1781 - 1788
  • [3] PERIOPERATIVE CARDIAC MORBIDITY
    MANGANO, DT
    [J]. ANESTHESIOLOGY, 1990, 72 (01) : 153 - 184
  • [4] Myocardial ischemia in sedated patients undergoing fiberoptic bronchoscopy
    Matot, I
    Kramer, MR
    Glantz, L
    Drenger, B
    Cotev, S
    [J]. CHEST, 1997, 112 (06) : 1454 - 1458
  • [5] PARAKASH UBS, 1991, CHEST, V100, P1668
  • [6] RAMSER ER, 1995, CLIN CHEST MED, V16, P415
  • [7] POSTAL SURVEY OF BRONCHOSCOPIC PRACTICE BY PHYSICIANS IN THE UNITED-KINGDOM
    SIMPSON, FG
    ARNOLD, AG
    PURVIS, A
    BELFIELD, PW
    MUERS, MF
    COOKE, NJ
    [J]. THORAX, 1986, 41 (04) : 311 - 317
  • [8] DEATHS AND COMPLICATIONS ASSOCIATED WITH FIBEROPTIC BRONCHOSCOPY
    SURATT, PM
    SMIDDY, JF
    GRUBER, B
    [J]. CHEST, 1976, 69 (06) : 747 - 751