J Korean Pain Soc.  1998 May;11(1):146-149.

Unstable Angina Pectoris after Lumbar Epidural Blockade in a Herpes Zoster Patient with Chronic Stable Angina Pectoris

• Lee JH
• Yoon CS
• Chung EB
• Lee KN
• Moon JI

Abstract

Herpes zoster is a viral disease characterized by skin rash and persistent pain. Early treatment with epidural analgesia provides very effective pain relief and reduces the incidence of postherpetic neuralgia. However, epidural analgesia in elderly, deliberated or hypovolemic patients may complicate circulatory depression such as hypotension and bradycardia. Even if temporary, a major decrease in blood pressure may decrease coronary blood flow of patients with arteriosclerosis and ischemic accident may occur. We experienced a case of unstable angina pectoris after lumbar epidural blockade in a herpes zoster patient with chronic stable angina pectoris.

Keyword

Analgesia, epidural; Complications, unstable angina pectoris; Infection, herpes zoster

MeSH Terms

Aged
Analgesia, Epidural
Angina, Stable*
Angina, Unstable*
Arteriosclerosis
Blood Pressure
Bradycardia
Depression
Exanthema
Herpes Zoster*
Humans
Hypotension
Hypovolemia
Incidence
Neuralgia, Postherpetic
Virus Diseases