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CASE REPORT
Year : 2012  |  Volume : 28  |  Issue : 4  |  Page : 510-513

Recurrent intraoperative silent ST depression responding to phenylephrine


Department of Anaesthesia, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
P M Singh
Department of Anaesthesia, All India Institute of Medical Sciences, New Delhi-110029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-9185.101944

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Intraoperative myocardial ischemia is attributed to decreased myocardial oxygen supply. We present an unusual case of recurrent, symptomless inferior wall ischemia in an apparently healthy male with no history of coronary artery disease after a spinal block. The recurring episodes were linked to tachycardia and presented with significant ST depression in Lead II with reciprocal elevation in lead aVL. The episodes responded to phenylephrine and subsided without residual sequelae.


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