Der Anaesthesist
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Case Reports
[Intraoperative coronary artery spasm with cardiac arrest: cardiologic acute intervention].
Ventricular fibrillation occurred intraoperatively during a laparoscopy-assisted resection of the rectum in a 63-year-old patient. A coronary artery spasm was identified as the cause. ⋯ Excellent interdisciplinary cooperation combined with favourable timing and spatial conditions, made this outcome possible for the patient without neurological deficits. In addition to presenting the actual treatment procedure, possible underlying pathogenetic mechanisms will also be presented.
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The aim of this study was to assess cardiac function in vascular surgery patients with known coronary artery disease (CAD) who received continuous perioperative beta blocker therapy with esmolol alone versus esmolol in combination with the phosphodiesterase (PDE) III inhibitor enoximone. ⋯ Inotropic therapy with the PDE III inhibitor enoximone improves cardiac function in high risk patients with known CAD undergoing vascular surgery and also when receiving systematic heart rate control by continuous infusion of esmolol.