British Journal of Anaesthesia, Vol 84, Issue 4 510-513, Copyright © 2000 by Oxford University Press
M Mizogami, K Shimo, T Taguchi and Y Horita
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.
ARTICLES
Stunned myocardium after hip arthroplasty
Department of Anaesthesiology, Asahi University, Gifu-ken, Japan.
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