학술논문

A case of ST depression and bradycardia during bronchoscopic examination / 【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
Document Type
Journal Article
Source
呼吸臨床 / Japanese Open Journal of Respiratory Medicine. 2021, 5(5):00128
Subject
ST changes
ST変化
bradycardia
bronchoscopy
complications
合併症
徐脈
気管支鏡
Language
Japanese
ISSN
2433-3778
Abstract
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.