Experience of general anesthesia in a patient with menstrual‐associated coronary spasm
Abstract Coronary angina due to low estrogen is relatively common around menopause, with almost no reports associated with the menstrual cycle or anesthetic management at younger ages. The patient was a 22‐year‐old woman who had developed ventricular fibrillation due to coronary spasm, resulting in...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-07-01
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| Series: | Clinical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ccr3.7641 |
| _version_ | 1797772036520542208 |
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| author | Aya Kawachi Saho Sudo Yusuke Ishida Koichi Nakazawa |
| author_facet | Aya Kawachi Saho Sudo Yusuke Ishida Koichi Nakazawa |
| author_sort | Aya Kawachi |
| collection | DOAJ |
| description | Abstract Coronary angina due to low estrogen is relatively common around menopause, with almost no reports associated with the menstrual cycle or anesthetic management at younger ages. The patient was a 22‐year‐old woman who had developed ventricular fibrillation due to coronary spasm, resulting in cardiopulmonary arrest. She was resuscitated, and underwent ICD implantation. As her symptoms appeared at specific times during her menstrual cycle, she was diagnosed as having menstrual‐associated coronary spasm, and started taking estrogen/progesterone medication. An endometrial ablation was scheduled for endometrial hyperplasia that was caused by the medicine. The surgery was scheduled in consideration of the patient's menstrual cycle, and general anesthesia was selected as the method of anesthesia. The surgery and perioperative management were uneventful, and her postoperative course was favorable. Our case is the first to our knowledge of general anesthesia performed on a patient with menstrual‐associated coronary spasm. |
| first_indexed | 2024-03-12T21:46:14Z |
| format | Article |
| id | doaj.art-5f159406294e4cf88143c5470ec9a331 |
| institution | Directory Open Access Journal |
| issn | 2050-0904 |
| language | English |
| last_indexed | 2024-03-12T21:46:14Z |
| publishDate | 2023-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj.art-5f159406294e4cf88143c5470ec9a3312023-07-26T12:00:45ZengWileyClinical Case Reports2050-09042023-07-01117n/an/a10.1002/ccr3.7641Experience of general anesthesia in a patient with menstrual‐associated coronary spasmAya Kawachi0Saho Sudo1Yusuke Ishida2Koichi Nakazawa3Department of Anesthesiology Tokyo Medical University Tokyo JapanDepartment of Anesthesiology Tokyo Medical University Tokyo JapanDepartment of Anesthesiology Tokyo Medical University Tokyo JapanDepartment of Anesthesiology Tokyo Medical University Tokyo JapanAbstract Coronary angina due to low estrogen is relatively common around menopause, with almost no reports associated with the menstrual cycle or anesthetic management at younger ages. The patient was a 22‐year‐old woman who had developed ventricular fibrillation due to coronary spasm, resulting in cardiopulmonary arrest. She was resuscitated, and underwent ICD implantation. As her symptoms appeared at specific times during her menstrual cycle, she was diagnosed as having menstrual‐associated coronary spasm, and started taking estrogen/progesterone medication. An endometrial ablation was scheduled for endometrial hyperplasia that was caused by the medicine. The surgery was scheduled in consideration of the patient's menstrual cycle, and general anesthesia was selected as the method of anesthesia. The surgery and perioperative management were uneventful, and her postoperative course was favorable. Our case is the first to our knowledge of general anesthesia performed on a patient with menstrual‐associated coronary spasm.https://doi.org/10.1002/ccr3.7641coronary spasmgeneral anesthesiamenstruation |
| spellingShingle | Aya Kawachi Saho Sudo Yusuke Ishida Koichi Nakazawa Experience of general anesthesia in a patient with menstrual‐associated coronary spasm Clinical Case Reports coronary spasm general anesthesia menstruation |
| title | Experience of general anesthesia in a patient with menstrual‐associated coronary spasm |
| title_full | Experience of general anesthesia in a patient with menstrual‐associated coronary spasm |
| title_fullStr | Experience of general anesthesia in a patient with menstrual‐associated coronary spasm |
| title_full_unstemmed | Experience of general anesthesia in a patient with menstrual‐associated coronary spasm |
| title_short | Experience of general anesthesia in a patient with menstrual‐associated coronary spasm |
| title_sort | experience of general anesthesia in a patient with menstrual associated coronary spasm |
| topic | coronary spasm general anesthesia menstruation |
| url | https://doi.org/10.1002/ccr3.7641 |
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