Lindsay Patrick J, Frank Rachel C, Bittner Edward A, Berg Sheri, Chang Marvin G
Department of Anesthesia Critical Care and Pain, Massachusetts General Hospital, Boston, Massachusetts, USA.
Cardiology Division, Massachusetts General Hospital, Boston, Massachusetts, USA.
Case Rep Anesthesiol. 2020 Feb 12;2020:1527345. doi: 10.1155/2020/1527345. eCollection 2020.
ST elevations (STE) in the perioperative setting can result from a number of different etiologies, the most common and feared being acute coronary syndrome (ACS). However, other causes should be considered, as treatment may differ depending on the diagnosis. Here, we describe a case of STE and ventricular tachycardia in a patient at high risk for ACS. The patient had a prior diagnosis of coronary vasospasm; however, given pre-existing risk factors, much consideration and deliberation occurred prior to electing conservative therapy. This report provides an overview of perioperative vasospasm and other causes of STE, which anesthesiologists should be aware of.
围手术期出现的ST段抬高（STE）可由多种不同病因引起，其中最常见且令人担忧的是急性冠状动脉综合征（ACS）。然而，其他病因也应予以考虑，因为治疗可能因诊断不同而有所差异。在此，我们描述一例ACS高危患者出现STE和室性心动过速的病例。该患者既往诊断为冠状动脉痉挛；然而，鉴于存在的危险因素，在选择保守治疗之前进行了大量的思考和讨论。本报告概述了围手术期血管痉挛及STE的其他病因，麻醉医生应予以关注。
