[Bezold-Jarisch reflex in a patient undergoing endoscopic sympathectomy for management of refractory angina pectoris: a case report]. / Reflexo de BezoldJarisch em paciente submetida à simpatectomia endoscópica para tratamento de angina pectoris refratária: relato de caso.
Braz J Anesthesiol
; 68(1): 96-99, 2018.
Article
em Pt
| MEDLINE
| ID: mdl-26809967
BACKGROUND AND OBJECTIVES: Ischemic cardiomyopathy is characterized by imbalance between supply and demand of myocardial oxygen. Endoscopic transthoracic sympathectomy is a therapeutic option indicated in refractory cases. However, the patient's position on the operating table may favor ischemic coronary events triggering the Bezold-Jarisch reflex. CASE REPORT: A female patient, 47 years old, with refractory ischemic cardiomyopathy, admitted to the operating room for endoscopic transthoracic sympathectomy, developed the Bezold-Jarisch reflex with severe bradycardia and hypotension after placement in semi-sitting position to the procedure. CONCLUSION: Bradyarrhythmia, hypotension, and asystole are complications potentially associated with patient placement in a semi-sitting position, particularly in cases with previous ischemic heart disease.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Simpatectomia
/
Bradicardia
/
Posicionamento do Paciente
/
Hipotensão
/
Complicações Intraoperatórias
/
Angina Pectoris
Limite:
Female
/
Humans
/
Middle aged
Idioma:
Pt
Revista:
Braz J Anesthesiol
Ano de publicação:
2018
Tipo de documento:
Article
País de publicação:
Brasil