发生在眼心反射情况下的冠状动脉痉挛。
Coronary artery spasm occurring in the setting of the oculocardiac reflex.
机构信息
Department of Anesthesiology, Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI 48202, USA.
出版信息
J Anesth. 2010 Oct;24(5):757-60. doi: 10.1007/s00540-010-0967-5. Epub 2010 Jun 5.
The oculocardiac reflex (OCR) occurs in up to 90% of ophthalmological surgeries. Several preventive and treatment strategies have been described. Coronary artery spasm (CAS) plays an important role in the pathogenesis of variant angina and myocardial infarction. We describe an unusual case of a perioperative myocardial infarction due to CAS that occurred in the setting of the treatment of the OCR. We offer insight aimed at minimizing the deleterious effects of the OCR and its management.
眼心反射（OCR）在高达 90%的眼科手术中发生。已经描述了几种预防和治疗策略。冠状动脉痉挛（CAS）在变异性心绞痛和心肌梗死的发病机制中起重要作用。我们描述了一例由于 CAS 引起的围手术期心肌梗死的不寻常病例，该病例发生在 OCR 治疗的情况下。我们提供了旨在最小化 OCR 及其管理的有害影响的见解。
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