Coronary Arteries Spasm After Administration of Atropine for Premedication

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 w...

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Main Authors: 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
Format: Article
Language:Russian
Published: Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department 2024-09-01
Series:Неотложная медицинская помощь
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Online Access:https://www.jnmp.ru/jour/article/view/1895
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author 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
author_facet 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
author_sort A. Yu. Shchedrina
collection DOAJ
description 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.
format Article
id doaj-art-436d75a167d2408eb101d3ca00d37dd0
institution Kabale University
issn 2223-9022
2541-8017
language Russian
publishDate 2024-09-01
publisher Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department
record_format Article
series Неотложная медицинская помощь
spelling doaj-art-436d75a167d2408eb101d3ca00d37dd02025-08-20T03:56:36ZrusSklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare DepartmentНеотложная медицинская помощь2223-90222541-80172024-09-0113229930410.23934/2223-9022-2024-13-2-299-304949Coronary Arteries Spasm After Administration of Atropine for PremedicationA. Yu. Shchedrina0A. Z. Khashukoeva1L. P. Prokhorova2K. A. Eruslanova3E. A. Rodnyanskaya4A. M. Shatov5A. F. Farzutdinov6N. F. Fathi7M. A. Fedin8K. O. Orunbekova9O. N. Tkacheva10S. R. Gilyarevsky11N.I. Pirogov Russian National Research Medical University, Russian Gerontological Research and Clinical CenterN.I. Pirogov Russian National Research Medical University, Russian Gerontological Research and Clinical CenterN.I. Pirogov Russian National Research Medical University, Russian Gerontological Research and Clinical CenterN.I. Pirogov Russian National Research Medical University, Russian Gerontological Research and Clinical CenterN.I. Pirogov Russian National Research Medical University, Russian Gerontological Research and Clinical CenterN.I. Pirogov Russian National Research Medical University, Russian Gerontological Research and Clinical CenterN.I. Pirogov Russian National Research Medical University, Russian Gerontological Research and Clinical CenterN.I. Pirogov Russian National Research Medical University, Russian Gerontological Research and Clinical CenterN.I. Pirogov Russian National Research Medical University, Russian Gerontological Research and Clinical CenterN.I. Pirogov Russian National Research Medical University, Russian Gerontological Research and Clinical CenterN.I. Pirogov Russian National Research Medical University, Russian Gerontological Research and Clinical CenterN.I. Pirogov Russian National Research Medical University, Russian Gerontological Research and Clinical CenterWe 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.https://www.jnmp.ru/jour/article/view/1895atropinecoronary artery spasmpremedication
spellingShingle 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
Coronary Arteries Spasm After Administration of Atropine for Premedication
Неотложная медицинская помощь
atropine
coronary artery spasm
premedication
title Coronary Arteries Spasm After Administration of Atropine for Premedication
title_full Coronary Arteries Spasm After Administration of Atropine for Premedication
title_fullStr Coronary Arteries Spasm After Administration of Atropine for Premedication
title_full_unstemmed Coronary Arteries Spasm After Administration of Atropine for Premedication
title_short Coronary Arteries Spasm After Administration of Atropine for Premedication
title_sort coronary arteries spasm after administration of atropine for premedication
topic atropine
coronary artery spasm
premedication
url https://www.jnmp.ru/jour/article/view/1895
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AT azkhashukoeva coronaryarteriesspasmafteradministrationofatropineforpremedication
AT lpprokhorova coronaryarteriesspasmafteradministrationofatropineforpremedication
AT kaeruslanova coronaryarteriesspasmafteradministrationofatropineforpremedication
AT earodnyanskaya coronaryarteriesspasmafteradministrationofatropineforpremedication
AT amshatov coronaryarteriesspasmafteradministrationofatropineforpremedication
AT affarzutdinov coronaryarteriesspasmafteradministrationofatropineforpremedication
AT nffathi coronaryarteriesspasmafteradministrationofatropineforpremedication
AT mafedin coronaryarteriesspasmafteradministrationofatropineforpremedication
AT koorunbekova coronaryarteriesspasmafteradministrationofatropineforpremedication
AT ontkacheva coronaryarteriesspasmafteradministrationofatropineforpremedication
AT srgilyarevsky coronaryarteriesspasmafteradministrationofatropineforpremedication