Coronary Arteries Spasm After Administration of Atropine for Premedication
A. Yu. Shchedrina,
A. Z. Khashukoeva,
L. P. Prokhorova,
K. A. Eruslanova,
E. A. Rodnyanskaya,
A. M. Shatov,
A. F. Farzutdinov,
N. F. Fathi,
M. A. Fedin,
K. O. Orunbekova,
O. N. Tkacheva,
S. R. Gilyarevsky https://doi.org/10.23934/2223-9022-2024-13-2-299-304
Abstract
We report a case of severe retrosternal pain in 28-year-old patient with no cardiovascular diseases in history, developed after intravenous administration of 0.5 atropine sulfate 0.1 % solution for the purpose of premedication before the planned operation for endometrioid ovarian cysts and managed with nitrates spray. Taking into account the clinical picture, transient ischemic changes in the electrocardiogram and the association with the administration of atropine, it can be assumed that the patient had a spasm of the coronary arteries caused by the administration of atropine. There are only a very small number of descriptions of similar observations in the literature, which are also discussed in the article.
Supporting agencies: The study had no sponsorship
About the Authors
A. Yu. Shchedrina
N.I. Pirogov Russian National Research Medical University, Russian Gerontological Research and Clinical Center
Russian Federation
Russian Federation
Anna Yu. Shchedrina, Candidate of Medical Sciences, Head of the Department
Cardiology Center; Department of Geriatric Cardiology
129226; 1-st Leonova Str. 16; Moscow
A. Z. Khashukoeva
N.I. Pirogov Russian National Research Medical University, Russian Gerontological Research and Clinical Center
Russian Federation
Russian Federation
Asiyat Z. Khashukoeva, Doctor of Medical Sciences, Professor
Cardiology Center; Department of Obstetrics and Gynecology
129226; 1-st Leonova Str. 16; Moscow
L. P. Prokhorova
N.I. Pirogov Russian National Research Medical University, Russian Gerontological Research and Clinical Center
Russian Federation
Russian Federation
Lyubov P. Prokhorova, Obstetrician-gynecologist
Cardiology Center; Gynecology Department
129226; 1-st Leonova Str. 16; Moscow
K. A. Eruslanova
N.I. Pirogov Russian National Research Medical University, Russian Gerontological Research and Clinical Center
Russian Federation
Russian Federation
Kseniia A. Eruslanova, Candidate of Medical Sciences, Head of the Laboratory
Cardiology Center; Laboratory of Cardiovascular Aging
129226; 1-st Leonova Str. 16; Moscow
E. A. Rodnyanskaya
N.I. Pirogov Russian National Research Medical University, Russian Gerontological Research and Clinical Center
Russian Federation
Russian Federation
Ekaterina A. Rodnyanskaya, Anesthesiologist and Resuscitator
Cardiology Center; Department of Anesthesiology and Resuscitation
129226; 1-st Leonova Str. 16; Moscow
A. M. Shatov
N.I. Pirogov Russian National Research Medical University, Russian Gerontological Research and Clinical Center
Russian Federation
Russian Federation
Aleksey M. Shatov, Anesthesiologist and Resuscitator
Cardiology Center; Department of Anesthesiology and Resuscitation
129226; 1-st Leonova Str. 16; Moscow
A. F. Farzutdinov
N.I. Pirogov Russian National Research Medical University, Russian Gerontological Research and Clinical Center
Russian Federation
Russian Federation
Artur F. Farzutdinov, Head of the Department, Anesthesiologist and Resuscitator
Cardiology Center; Department of Anesthesiology-Resuscitation and Intensive Care
129226; 1-st Leonova Str. 16; Moscow
N. F. Fathi
N.I. Pirogov Russian National Research Medical University, Russian Gerontological Research and Clinical Center
Russian Federation
Russian Federation
Nina F. Fathi, Anesthesiologist and Resuscitator
Cardiology Center; Department of Anesthesiology and Resuscitation
129226; 1-st Leonova Str. 16; Moscow
M. A. Fedin
N.I. Pirogov Russian National Research Medical University, Russian Gerontological Research and Clinical Center
Russian Federation
Russian Federation
Maksim A. Fedin, Cardiologist
Cardiology Center; Department of Geriatric Cardiology
129226; 1-st Leonova Str. 16; Moscow
K. O. Orunbekova
N.I. Pirogov Russian National Research Medical University, Russian Gerontological Research and Clinical Center
Russian Federation
Russian Federation
Kunduz O. Orunbekova, Resident
Cardiology Center
129226; 1-st Leonova Str. 16; Moscow
O. N. Tkacheva
N.I. Pirogov Russian National Research Medical University, Russian Gerontological Research and Clinical Center
Russian Federation
Russian Federation
Olga N. Tkacheva, Doctor of Medical Sciences, Professor, Corresponding Member of the Russian Academy of Sciences, Director of the Center
Cardiology Center
129226; 1-st Leonova Str. 16; Moscow
S. R. Gilyarevsky
N.I. Pirogov Russian National Research Medical University, Russian Gerontological Research and Clinical Center
Russian Federation
Russian Federation
Sergey R. Gilyarevsky, Head of the Center
Cardiology Center
129226; 1-st Leonova Str. 16; Moscow
References
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For citations:
Shchedrina A.Yu., Khashukoeva A.Z., Prokhorova L.P., Eruslanova K.A., Rodnyanskaya E.A., Shatov A.M., Farzutdinov A.F., Fathi N.F., Fedin M.A., Orunbekova K.O., Tkacheva O.N., Gilyarevsky S.R. Coronary Arteries Spasm After Administration of Atropine for Premedication. Russian Sklifosovsky Journal "Emergency Medical Care". 2024;13(2):299-304. https://doi.org/10.23934/2223-9022-2024-13-2-299-304
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