• J Clin Anesth · Feb 2014

    Case Reports

    Intraoperative cardiac arrest: was it the ACE inhibitor?

    • Jens Bjerregaard and Richard A Jaffe.
    • Department of Anesthesia, Stanford University School of Medicine, Stanford, CA 94305, USA.
    • J Clin Anesth. 2014 Feb 1;26(1):62-4.

    AbstractContinuing renin-angiotensin-aldosterone system antagonist therapy on the day of surgery is controversial, and appears to contribute to intraoperative hypotension. A patient presenting for cerebral aneurysm clipping continued her angiotensin-converting enzyme inhibitor on the morning of surgery, and subsequently experienced significant postinduction hypotension that culminated in cardiac arrest. Following successful resuscitation, she returned 6 weeks later to have her aneurysm clipped using identical anesthetic management; her blood pressure medications were held on the day of surgery.Copyright © 2014 Elsevier Inc. All rights reserved.

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