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Korean J Anesthesiol > Volume 42(3); 2002 > Article
Korean Journal of Anesthesiology 2002;42(3):403-408.
DOI: https://doi.org/10.4097/kjae.2002.42.3.403   
Myocardial Infarction after an Asthmatic Attack in a Cataract Surgery under Local Anesthesia.
Hye Won Shin, Yun Suk Lee, Heun Cho, Hye Won Lee, Hye Ja Lim, Seuk Min Yun, Seung Ho Jang
Department of Anesthesiology, Korea University College of Medicine, Seoul, Korea. hwshin99@Yahoo.com
Abstract
Asthma is characterized by bronchial wall inflammation, airway hyperactivity, and variable degrees of reversible airflow obstruction resulting in wheezing, dyspnea, and coughing. Elderly patients with asthma have a high morbidity and mortality in the perioperative period. In an asthmatic attack, if appropriate therapeutic and preventive measures are not instituted, it can result in severe complications. A 76-year-old male who was scheduled for cataract surgery had a history of bronchial asthma. After the operation, the patient complained of dyspnea at rest and tachycardia and breath sounds bilaterally were decreased with wheezing. To relieve the asthmatic attack, O2 mask ventilation, aminophylline 4 mg/kg, IV and a ventolin nebulizer were applied. However, 30 min after the asthmatic attack, SpO2 dropped to 50 - 60% and stuporous mentality appeared. We report an acute myocardial infarction and pulmonary edema after an asthma attack in a patient undergoing cataract surgery.
Key Words: Asthma; complication; myocardial infarction
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