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KMID : 0356920130650010066
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Korean Journal of Anesthesiology
2013 Volume.65 No. 1 p.66 ~ p.70
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Atropine injection followed by coronary artery spasm with ventricular tachycardia during spinal anesthesia -A case report-
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Lee Joon-Ho
Seok Ji-Hye
Kim Young-Lok
Lee Ji-Hyang
Lee Sang-Gon
Kim Eun-Ju
Seo Da-Mi
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Abstract
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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.
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KEYWORD
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Atropine, Bradycardia, Coronary artery spasm, Spinal anesthesia, Ventricular tachycardia
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