Korean J Crit Care Med.  1999 Jun;14(1):52-57.

Postoperative Unstable Angina Pectoris Occured in the Recovery Room: Case report

• Kim MO

Abstract

The leading cause of death after anesthesia and operations is cardiac complications, defined as myocardial infarction, unstable angina, congestive heart failure. We experienced a case of transient chest pain mimicking to myocardial ischemia after total intravenous anesthesia using propofol. The patient was 56 year-old female who underwent metatarsal osteotomy and distal soft tissue procedure. There was no specific abnormality on preoperative laboratory tests. Anesthesia induction and intraoperative course were completely uneventful. Immediately after transfered to the recovery room, the patient revealed transient cyanosis and complained anterior chest pain with tightness after fully awakening. In the study of electrocardiogram, there were ST abnormality in II, III, AVF and then T inversion in II, III, AVL, AVF, V2-6 leads. In the simultaneous study of echocardiogram, there was hypokinetic wall movement in the distal septum area. After treatment of nitroglycerine, the pain was subsided and the patient was discharged without any sequelae.

Keyword

Complication; unstable angina pectoris; Surgery; orthopedics

MeSH Terms

Anesthesia
Anesthesia, Intravenous
Angina, Unstable*
Cause of Death
Chest Pain
Cyanosis
Electrocardiography
Female
Heart Failure
Humans
Metatarsal Bones
Middle Aged
Myocardial Infarction
Myocardial Ischemia
Nitroglycerin
Orthopedics
Osteotomy
Propofol
Recovery Room*
Nitroglycerin
Propofol