oa Southern African Journal of Anaesthesia and Analgesia - An unusual case of ST elevation : case study

Volume 19, Issue 5
  • ISSN : 2220-1181
  • E-ISSN: 2220-1173



This report presents an unusual case of ST elevation on induction of anaesthesia in a patient undergoing an elective, non-cardiac surgical procedure. Through scrutiny of this case and its unanticipated events, together with the subsequent workup and management, the diagnosis of coronary artery vasospasm may be appreciated as an important entity of coronary artery disease. It serves to highlight coronary artery vasospasm as an under-appreciated diagnosis, to allow the anaesthetist to anticipate it as a potential risk in certain populations, and to distinguish it from other coronary artery disease and to institute appropriate management.

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