A case of ST depression and bradycardia during bronchoscopic examination

DOI
  • Katagiri Shinobu
    Department of Thoracic Surgery, Central Hospital Advanced Care Center, Nagano
  • Morozumi Nobutoshi
    Department of Respiratory Medicine, Saku Central Hospital Advanced Care Center, Nagano
  • Wasamoto Satoshi
    Department of Respiratory Medicine, Saku Central Hospital Advanced Care Center, Nagano
  • Yanagisawa Satoru
    Department of Respiratory Medicine, Saku Central Hospital Advanced Care Center, Nagano
  • Ohura Nariaki
    Department of Respiratory Medicine, Saku Central Hospital Advanced Care Center, Nagano
  • Maruyama Raito
    Department of Thoracic Surgery, Central Hospital Advanced Care Center, Nagano
  • Endoh Hideki
    Department of Thoracic Surgery, Central Hospital Advanced Care Center, Nagano
  • Yamamoto Ryohei
    Department of Thoracic Surgery, Central Hospital Advanced Care Center, Nagano

Bibliographic Information

Other Title
  • 【投稿/症例報告】気管支鏡検査中にST低下と徐脈を呈した1例

Description

A 72-year-old woman underwent thoracoscopic partial lung resection for lung cancer in the right upper lobe 10 years ago. At her current presentation, she underwent bronchoscopic examination due to the presence of a solid tumor near the staple line. During the procedure, the electrocardiogram monitor showed ST depression and bradycardia; hence, the study was stopped and emergency cardiac catheterization was performed. Coronary angiography showed no significant stenosis nor abnormalities in left ventricular systolic movement. Her symptoms improved after cardiac catheterization and there was no symptom relapse. Since ST changes during bronchoscopic examination can be caused by inappropriate techniques during the examination, standardized techniques should be used to reduce the burden on the patient.

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