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Anesth Analg 2001;93:53-55
© 2001 International Anesthesia Research Society

CARDIOVASCULAR ANESTHESIA

Terlipressin for Treating Intraoperative Hypotension: Can it Unmask Myocardial Ischemia?

Jessica Medel, MD, Gilles Boccara, MD, Msc, Emmy Van de Steen, MD, Michele Bertrand, MD, Gilles Godet, MD, and Pierre Coriat, MD

Department of Anesthesiology and Critical Care, University Hospital of Pitié-Salpêtrière, Paris, France

Address correspondence and reprint requests to Gilles Boccara, MD, Msc, Département d’Anesthésie et Réanimation, Groupe Hospitalier Pitié-Salpétrière, 47-83 Boulevard de l’Hôpital 75651 Paris Cedex 13, France. Address e-mail to gilles.boccara{at}psl.ap-hop-paris.fr

Implications: After administration of terlipressin to treat hypotension related to induction of general anesthesia, profound hypertension occurred in association with myocardial ischemia and occlusion of the left anterior descending coronary artery. The authors emphasize cautious use of this drug because of such adverse events.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2001 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2001 by the International Anesthesia Research Society.