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Coronary artery spasm occurring in the setting of the oculocardiac reflex

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Abstract

The oculocardiac reflex (OCR) occurs in up to 90% of ophthalmological surgeries. Several preventive and treatment strategies have been described. Coronary artery spasm (CAS) plays an important role in the pathogenesis of variant angina and myocardial infarction. We describe an unusual case of a perioperative myocardial infarction due to CAS that occurred in the setting of the treatment of the OCR. We offer insight aimed at minimizing the deleterious effects of the OCR and its management.

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Authors and Affiliations

  1. Department of Anesthesiology, Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI, 48202, USA

    Henry R. Kroll, Vivek Arora & David Vangura

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  1. Henry R. Kroll
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  2. Vivek Arora
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  3. David Vangura
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Correspondence to Henry R. Kroll.

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Kroll, H.R., Arora, V. & Vangura, D. Coronary artery spasm occurring in the setting of the oculocardiac reflex. J Anesth 24, 757–760 (2010). https://doi.org/10.1007/s00540-010-0967-5

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  • DOI: https://doi.org/10.1007/s00540-010-0967-5

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