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[Complete heart block and myocardial ischaemia during a severe anaphylactic reaction].

Authors
  • Rebet, O1
  • Leclerc, C
  • Sillard, B
  • Barthélémy, S
  • Laroche, D
  • Vergnaud, M-C
  • 1 Département d'anesthésie-réanimation, clinique de la Miséricorde, CHU de Caen, avenue de la Côte-de-Nacre, 14033 Caen, France. , (France)
Type
Published Article
Journal
Annales francaises d'anesthesie et de reanimation
Publication Date
December 2008
Volume
27
Issue
12
Pages
1026–1029
Identifiers
DOI: 10.1016/j.annfar.2008.08.014
PMID: 19022616
Source
Medline
License
Unknown

Abstract

An 83-year-old man had to be operated under general anaesthesia for a head skin tumor. The preanaesthetic exam of the cardiovascular function was reassuring but a cardiac arrest with a complete heart block occurred a few minutes after induction of anaesthesia. Resuscitation managing was successful but a myocardial ischaemia appeared. Biological tests confirmed severe anaphylactic reaction. The electrocardiographic expression, pathophysiology and management of cardiac anaphylaxis are discussed.

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