An anaphylactic reaction possibly associated with an intraoperative coronary artery spasm during general anesthesia

被引：15

作者：

Fujita, Y ^{[1
]}

Chikamitsu, M ^{[1
]}

Kimura, M ^{[1
]}

Toriumi, T ^{[1
]}

Endoh, S ^{[1
]}

Sari, A ^{[1
]}

机构：

[1] Kawasaki Med Sch, Dept Anesthesiol & Intens Care Med, Kurashiki, Okayama, Japan

来源：

JOURNAL OF CLINICAL ANESTHESIA | 2001年 / 13卷 / 03期

关键词：

anaphylactic reaction; antibiotics; complication; coronary artery spasm;

D O I：

10.1016/S0952-8180(01)00239-2

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

We report a case of anaphylactic reaction occurring during general anesthesia that may have been accompanied by a coronary artery spasm. The present case and a review of the medical literature suggest that coronary artery spasm is evoked by common vasoactive mediators with anaphylactic reactions. Coronay artery spasm should be counted as a symptom of the cardiovascular manifestation of anaphylaxis. Clinicians should be aware of this possible complication when treating an anaphylactic reaction, especially in patients at risk for atherosclerosis. Early recognition of ST segment elevation is essential for diagnosis and treatment of coronary artery spasm. (C) 2001 by Elsevier Science Inc.

引用

页码：221 / 226

页数：6

共 27 条

[1] ALLOPURINOL AND ENALAPRIL - DRUG-INDUCED ANAPHYLACTIC CORONARY SPASM AND ACUTE MYOCARDIAL-INFARCTION [J].

AHMAD, S .

CHEST, 1995, 108 (02) :586-586

[2] REVERSIBLE ACUTE CARDIAC INJURY DURING CEFOXITIN-INDUCED ANAPHYLAXIS IN A PATIENT WITH NORMAL CORONARY-ARTERIES [J].

AUSTIN, SM ;

BAROOAH, B ;

KIM, CS .

AMERICAN JOURNAL OF MEDICINE, 1984, 77 (04) :729-732

[3]

BLUMENTHAL R, 1996, PULMONARY CRITICAL C, P125

[4] CORONARY SPASM ASSOCIATED WITH URTICARIA - REPORT OF A CASE MIMICKING ANAPHYLAXIS [J].

BRISTOW, MR ;

GINSBURG, R ;

KANTROWITZ, NE ;

BAIM, DS ;

ROSENBAUM, JT .

CLINICAL CARDIOLOGY, 1982, 5 (03) :238-240

[5] CORONARY-ARTERY SPASM AND ACUTE MYOCARDIAL-INFARCTION IN NAPROXEN-ASSOCIATED ANAPHYLACTIC REACTION [J].

CISTERO, A ;

URIAS, S ;

GUINDO, J ;

LLEONART, R ;

GARCIAMOLL, M ;

GELI, A ;

DELUNA, AB .

ALLERGY, 1992, 47 (05) :576-578

[6] Coronary artery spasm complicating anaphylaxis secondary to skin disinfectant [J].

Conraads, VMA ;

Jorens, PG ;

Ebo, DG ;

Claeys, MJ ;

Bosmans, JM ;

Vrints, CJ .

CHEST, 1998, 113 (05) :1417-1419

[7] PROVOCATION OF CORONARY SPASM BY DOPAMINE IN PATIENTS WITH ACTIVE VARIANT ANGINA-PECTORIS [J].

CREA, F ;

CHIERCHIA, S ;

KASKI, JC ;

DAVIES, GJ ;

MARGONATO, A ;

MIRAN, DO ;

MASERI, A .

CIRCULATION, 1986, 74 (02) :262-269

[8] CORONARY-ARTERY SPASM INDUCED BY ANAPHYLACTOID REACTION TO A NEW LOW OSMOLAR CONTRAST-MEDIUM [J].

DOYAMA, K ;

HIROSE, K ;

KOSUGA, K ;

KAWAKAMI, Y ;

MORIKAWA, M ;

TOMIOKA, N ;

WATANABE, Y .

AMERICAN HEART JOURNAL, 1990, 120 (06) :1453-1455

[9]

DRUCK MN, 1981, CAN MED ASSOC J, V125, P1133

[10] EFFECTS OF TRIMETHAPHAN ON ARTERIAL BLOOD HISTAMINE AND SYSTEMIC HEMODYNAMICS IN HUMANS [J].

FAHMY, NR ;

SOTER, NA .

ANESTHESIOLOGY, 1985, 62 (05) :562-566

← 1 2 3 →