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British Journal of Anaesthesia, Vol 84, Issue 4 510-513, Copyright © 2000 by Oxford University Press


ARTICLES

Stunned myocardium after hip arthroplasty

M Mizogami, K Shimo, T Taguchi and Y Horita
Department of Anaesthesiology, Asahi University, Gifu-ken, Japan.

We report a case of ST-segment elevation occurring in all leads of the ECG during hip arthroplasty. It is thought that this resulted from a stunned myocardium because wall motion abnormalities were reversible, there was no evidence of fixed or vasospastic coronary occlusion and there was only a slight increase in serial cardiac enzymes. Treatment with nicorandil improved the patient's cardiac function. A [123I]MIBG test revealed a high myocardial washout rate, suggesting that the stunned myocardium was caused by exposure to excessive norepinephrine induced by anaesthesia or surgery.
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