Use of Head-Up Tilt Testing to Determine a Possible Cause of Unexpected Cardiac Asystole During Epidural Anesthesia

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概要

• 論文の詳細を見る

• Head-up tilt testing is widely used in the diagnosis of syncope of unknown origin. In this report, head-up tilt testing elucidated the etiology of cardiac asystole of unexpected and sudden onset during orthopedic surgery under epidural anesthesia in a 30-year-old woman. Conventional diagnostic approaches were ineffective. Venous pooling in the lower legs as a result of vasodilation and subsequent vagotony due to epidural anesthesia, a condition mimicking orthostatic stress, is proposed as the mechanism of asystole. Follow-up examinations over 16 months revealed no further syncope and a good clinical course. Head-up tilt testing was useful in determining etiology in this case.

• 社団法人日本循環器学会の論文
• 1997-05-20

著者

• Nakamura Haruo

  National Defense Medical College

• Nakamura Haruo

  Department of Cardiovascular Surgery, Toranomon Hospital

• OHTA Satoshi

  Department of Cardiovascular Medicine, Hypertension and Cardiorenal Medicine, Dokkyo University Scho

• Isojima Kazushige

  First Department of Internal Medicine, Self-Defense Forces Central Hospital

• Isojima Kazushige

  Department of Internal Medicine, Japan Self Defense Force Central Hospital

• Uehata Akimi

  Department of Internal Medicine, Japan Self Defense Froce Sendai Hospital

• Takase Bonpei

  Department of Cardiovascular Medicine, National Defense Medical College

• KURITA AKIRA

  Department of Internal Medicine, National Defense Medical College

• Ohtomi Shingo

  Division Of Cardiology Mishuku Hospital

• Ohtomi Shingo

  Department Of Cardiology Mishuku Hospital

• Uehata Akimi

  Self Defense Forces Central Hospital, Internal Medicine

• Nagai Tomoo

  Self Defence Forces Central Hospital, Internal Medicine

• Kurita Akira

  Department Of Internal Medicine Nippon Medical School

• Goto Tomoko

  Department Of Obstetrics And Gynecology National Defense Medical College

• Goto Tomoko

  Department Of Materials Science & Engineering Nagoya Institute Of Technology

• Nagai Tomoo

  Department of Internal Medicine, Self Defense Force Central Hospital

• Takemoto Toshihiko

  Department of Orthopedic Surgery, Misyuku Hospital

• Uehata Akimi

  Self Defense Forces Central Hospital Internal Medicine

• Kurita Akira

  First Department Of Internal Medicine National Defense Medical College

• Isojima Kazushige

  First Department Of Internal Medicine Self-defense Forces Central Hospital

• Nagai Tomoo

  Self Defence Forces Central Hospital Internal Medicine

• Kurita Akira

  Research Institute National Defense Medical College

• Uehata Akimi

  Self Defense Forces Central Hospital

• Nakamura Haruo

  1st Department Of Medicine National Defense Medical College

• Nakamura Haruo

  Department Of Internal Medicine-i National Defense Medical College

• Nakamura Haruo

  The Department Of Internal Medicine I National Defense Medical College

• Nakamura Haruo

  Department Of Cardiovascular Surgery Toranomon Hospital

• Goto Tomoko

  Department Of Internal Medicine Self Defense Force Central Hospital:department Of Cardiology Misyuku

• Kurita Akira

  Department Of Information Science Fukui University

• Takemoto Toshihiko

  Department Of Orthopedic Surgery Misyuku Hospital

• Takemoto Toshihiko

  Department Of Materials Science And Engineering Faculty Of Engineering Osaka Univ. :rutgers Univ.

• Goto Tomoko

  Department Of Anesthesiology Kumamoto Chuo Hospital

• Kurita Akira

  Department Of Cardiology Nippon Medical School

• Ohta Satoshi

  Department Of Cardiology Misyuku Hospital

• Isojima Kazushige

  1st Dept. Of Int. Med. Nippon Medical School

• Uehata Akimi

  Department Of Cardiology Self Defense Central Hospital

• Kurita Akira

  The First Department Of Internal Medicine.

• OHTA Satoshi

  Department of Biotechnology, Senshu University of Ishinomaki

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