{Reference Type}: Case Reports
{Title}: [Bezold-Jarisch reflex in a patient undergoing endoscopic sympathectomy for management of refractory angina pectoris: a case report].
{Author}: Caldas WJM;Barbosa MF;Dias CP;
{Journal}: Braz J Anesthesiol
{Volume}: 68
{Issue}: 1
{Year}: Jan 2018 0
暂无{DOI}: 10.1016/j.bjan.2015.12.005
{Abstract}: <B>OBJECTIVE: </B>Ischemic cardiomyopathy is characterized by imbalance between supply and demand of myocardial oxygen. Endoscopic transthoracic sympathectomy is a therapeutic option indicated in refractory cases. However, the patient's position on the operating table may favor ischemic coronary events triggering the Bezold-Jarisch reflex.<BR><B>METHODS: </B>A female patient, 47 years old, with refractory ischemic cardiomyopathy, admitted to the operating room for endoscopic transthoracic sympathectomy, developed the Bezold-Jarisch reflex with severe bradycardia and hypotension after placement in semi-sitting position to the procedure.<BR><B>CONCLUSIONS: </B>Bradyarrhythmia, hypotension, and asystole are complications potentially associated with patient placement in a semi-sitting position, particularly in cases with previous ischemic heart disease.