Abstract
This report describes a case of ventricular fibrillation resulting from coronary vasospasm during intracranial operation under general anesthesia. An autonomic response associated with the intracranial procedure caused a coronary spasm, which was worsened by alpha-agonists. Nitroglycerin effectively resolved the coronary spasm and co-complications persisted.
MeSH terms
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Adrenergic alpha-Agonists / adverse effects
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Adrenergic alpha-Agonists / therapeutic use
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Autonomic Nervous System / drug effects
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Autonomic Nervous System / physiopathology
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Bradycardia / etiology
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Coronary Vasospasm / drug therapy
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Coronary Vasospasm / etiology*
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Craniotomy / adverse effects*
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Electrocardiography / drug effects
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Humans
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Hypotension / etiology
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Male
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Middle Aged
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Nitroglycerin / therapeutic use
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Petrous Bone / surgery
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Reflex / drug effects
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Reflex / physiology*
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Tachycardia, Ventricular / etiology
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Trigeminal Nerve / drug effects
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Trigeminal Nerve / physiopathology*
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Vagus Nerve / drug effects
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Vagus Nerve / physiopathology*
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Vasodilator Agents / therapeutic use
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Ventricular Fibrillation / etiology
Substances
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Adrenergic alpha-Agonists
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Vasodilator Agents
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Nitroglycerin