Hypotension and bradycardia before spinal anesthesia : clinical information

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I report a case of hypotension and bradycardia before spinal anesthesia in a pregnant woman with mild to moderate hypertension treated with nifedipine and methyldopa, scheduled for an elective cesarean delivery. She had the history of neurally-mediated syncopes. Two main factors (increased vagal ton...

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Detalles Bibliográficos
Autor: Shiraishi-Zapata, Carlos Javier
Formato: artículo
Fecha de Publicación:2017
Institución:Seguro Social de Salud
Repositorio:ESSALUD-Institucional
Lenguaje:inglés
OAI Identifier:oai:repositorio.essalud.gob.pe:20.500.12959/2127
Enlace del recurso:https://hdl.handle.net/20.500.12959/2127
https://doi.org/10.1016/j.bjane.2014.12.008
Nivel de acceso:acceso abierto
Materia:Hipertensión
Bradicardia
Antihipertensivos
Medicamentos
https://purl.org/pe-repo/ocde/ford#3.03.02
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dc.title.es_PE.fl_str_mv Hypotension and bradycardia before spinal anesthesia : clinical information
dc.title.alternative.es_PE.fl_str_mv Hipotensão e bradicardia antes da raquianestesia : informacao clínica
title Hypotension and bradycardia before spinal anesthesia : clinical information
spellingShingle Hypotension and bradycardia before spinal anesthesia : clinical information
Shiraishi-Zapata, Carlos Javier
Hipertensión
Bradicardia
Antihipertensivos
Medicamentos
https://purl.org/pe-repo/ocde/ford#3.03.02
title_short Hypotension and bradycardia before spinal anesthesia : clinical information
title_full Hypotension and bradycardia before spinal anesthesia : clinical information
title_fullStr Hypotension and bradycardia before spinal anesthesia : clinical information
title_full_unstemmed Hypotension and bradycardia before spinal anesthesia : clinical information
title_sort Hypotension and bradycardia before spinal anesthesia : clinical information
author Shiraishi-Zapata, Carlos Javier
author_facet Shiraishi-Zapata, Carlos Javier
author_role author
dc.contributor.author.fl_str_mv Shiraishi-Zapata, Carlos Javier
dc.subject.es_PE.fl_str_mv Hipertensión
Bradicardia
Antihipertensivos
Medicamentos
topic Hipertensión
Bradicardia
Antihipertensivos
Medicamentos
https://purl.org/pe-repo/ocde/ford#3.03.02
dc.subject.ocde.es_PE.fl_str_mv https://purl.org/pe-repo/ocde/ford#3.03.02
description I report a case of hypotension and bradycardia before spinal anesthesia in a pregnant woman with mild to moderate hypertension treated with nifedipine and methyldopa, scheduled for an elective cesarean delivery. She had the history of neurally-mediated syncopes. Two main factors (increased vagal tone and adverse effects of antihypertensive drugs) could explain the hypotension and bradycardia before spinal anesthesia. Monitoring allowed recognizing the problem and corrected it. Thus, it was avoided a disaster in anesthesia, as hemodynamic changes after spinal anesthesia, they would have joined to previous hypotension and bradycardia, which would have caused even a cardiac arrest.
publishDate 2017
dc.date.accessioned.none.fl_str_mv 2022-05-17T17:01:21Z
dc.date.available.none.fl_str_mv 2022-05-17T17:01:21Z
dc.date.issued.fl_str_mv 2017
dc.type.es_PE.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.citation.es_PE.fl_str_mv Revista Brasileira de Anestesiología. 2017; 67 (5).
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dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/20.500.12959/2127
dc.identifier.doi.none.fl_str_mv https://doi.org/10.1016/j.bjane.2014.12.008
identifier_str_mv Revista Brasileira de Anestesiología. 2017; 67 (5).
0104-0014
url https://hdl.handle.net/20.500.12959/2127
https://doi.org/10.1016/j.bjane.2014.12.008
dc.language.iso.es_PE.fl_str_mv eng
language eng
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eu_rights_str_mv openAccess
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dc.publisher.es_PE.fl_str_mv Sociedad Brasileña de Anestesiología
dc.source.none.fl_str_mv reponame:ESSALUD-Institucional
instname:Seguro Social de Salud
instacron:ESSALUD
instname_str Seguro Social de Salud
instacron_str ESSALUD
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spelling Shiraishi-Zapata, Carlos Javier2022-05-17T17:01:21Z2022-05-17T17:01:21Z2017Revista Brasileira de Anestesiología. 2017; 67 (5).0104-0014https://hdl.handle.net/20.500.12959/2127https://doi.org/10.1016/j.bjane.2014.12.008I report a case of hypotension and bradycardia before spinal anesthesia in a pregnant woman with mild to moderate hypertension treated with nifedipine and methyldopa, scheduled for an elective cesarean delivery. She had the history of neurally-mediated syncopes. Two main factors (increased vagal tone and adverse effects of antihypertensive drugs) could explain the hypotension and bradycardia before spinal anesthesia. Monitoring allowed recognizing the problem and corrected it. Thus, it was avoided a disaster in anesthesia, as hemodynamic changes after spinal anesthesia, they would have joined to previous hypotension and bradycardia, which would have caused even a cardiac arrest.Relato de um caso de hipotensão e bradicardia antes da raquianestesia em uma mulher grávida com hipertensão leve a moderada tratada com nifedipina e metildopa, programada para parto cesário eletivo. A paciente apresentava história de síncopes neuralmente mediadas. Dois fatores principais (aumento do tônus vagal e efeitos adversos de medicamentos anti-hipertensivos) poderiam explicar a hipotensão e bradicardia antes da raquianestesia. O monitoramento permitiu reconhecer o problema e corrigi-lo. Assim, foi evitado um desastre em anestesia; assim como as alterac¸ões hemodinâmicas após a raquianestesia, esses fatores teriam se juntado à hipotensão e bradicardia anterior, o que poderia ter causado inclusive uma parada cardíaca.application/pdfengSociedad Brasileña de Anestesiologíahttps://www.sciencedirect.com/science/article/pii/S0104001415001232?via%3Dihubinfo:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/4.0/HipertensiónBradicardiaAntihipertensivosMedicamentoshttps://purl.org/pe-repo/ocde/ford#3.03.02Hypotension and bradycardia before spinal anesthesia : clinical informationHipotensão e bradicardia antes da raquianestesia : informacao clínicainfo:eu-repo/semantics/articlereponame:ESSALUD-Institucionalinstname:Seguro Social de Saludinstacron:ESSALUDORIGINALHypotension_and_bradycardia (inglés).pdfHypotension_and_bradycardia (inglés).pdfapplication/pdf274694https://repositorio.essalud.gob.pe/bitstream/20.500.12959/2127/1/Hypotension_and_bradycardia%20%28ingl%c3%a9s%29.pdfb6ed984ee64e1e067679715e7b8204a4MD51Hipotensao_e_bradicardia (portugués).pdfHipotensao_e_bradicardia (portugués).pdfapplication/pdf276984https://repositorio.essalud.gob.pe/bitstream/20.500.12959/2127/2/Hipotensao_e_bradicardia%20%28portugu%c3%a9s%29.pdf3a40b0666fdc129689f3386e99a801bcMD52LICENSElicense.txtlicense.txttext/plain; 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Hypotension and bradycardia before spinal anesthesia : clinical information
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