Reversible Coronary Spasm Induced by Marcaine Mimicking Non-ST Segment Elevation Myocardial Infarction in a Young Patient: A Case Report
M. Njie, A. El Jazouli, P. M Mulendele, M Charfo, M. HABOUB, A. Salim, Med G. Benouna, A. DRIGHIL, L. Azzouzi, R. HABBAL
Asian Journal of Cardiology Research · pp. 200–205 · Published 25 May 2022
Abstract
Bupivacaine (marcaine) is a long-acting local anesthetic used for skin infiltration, peripheral nerve blocks, epidural and spinal anesthesia. Its application can lead to cardiovascular complications such as: hypotension, bradycardia, cardiac arrest and toxic myocardial injury. Few cases of coronary artery spasm induced by bupivacaine mimicking myocardial infection have been reported in the literature. We report a case of a reversible coronary spasm induced by marcaine during spinal anesthesia confirmed by a provocative vasoactive test on coronary angiography in a 38-year young patient without a known cardiovascular disease admitted initially for scheduled fissurectomy and hemorrhoidectomy in whom treatment by calcium channel blockers reversed patient’s symptoms and electrophysiology signs.
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