S.S. Choi, Y.-J. Lim, J.-H. Bahk, S.-H. Do, B.-M. Ham

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Coronary artery spasm induced by carotid sinus stimulation during neck surgery S.S. Choi, Y.-J. Lim, J.-H. Bahk, S.-H. Do, B.-M. Ham British Journal of Anaesthesia Volume 90, Issue 3, Pages 391-394 (March 2003) DOI: 10.1093/bja/aeg051 Copyright © 2003 British Journal of Anaesthesia Terms and Conditions

Fig 1 ST-segment elevation and QRS widening occurred about 1 min after carotid sinus stimulation (a) and resolved spontaneously without treatment (b). At the end of the operation, marked ST-segment elevation occurred, and returned to baseline after i.v. infusion of lidocaine 1%, 80 mg. The duration of this episode was 5 min (c). British Journal of Anaesthesia 2003 90, 391-394DOI: (10.1093/bja/aeg051) Copyright © 2003 British Journal of Anaesthesia Terms and Conditions

Fig 2 Coronary angiogram and ECG supporting the diagnosis of variant angina. (a) Coronary angiogram showed diffuse, slight narrowing of the distal bed of posterolateral branch of the right coronary artery. (b) The posterolateral branch of the right coronary artery was occluded totally after i.v. ergonovine, and (c) the spasm was relieved after intracoronary nitroglycerine. (d) The patient experienced chest pain with ST-segment elevation in leads II, III and aVF, and reciprocal ST-segment depression in leads I and aVL. British Journal of Anaesthesia 2003 90, 391-394DOI: (10.1093/bja/aeg051) Copyright © 2003 British Journal of Anaesthesia Terms and Conditions