[Marked ST segment elevation in ECG during fiberscope-guided nasotracheal intubation in a patient with tetanus].
1995
: A patient with tetanus showed marked ST segment elevation in ECG during fiberscope-guided nasotracheal intubation. Coronary artery spasm could have been induced probably by tetanospasmin and this would lead to transmural ischemia during procedure. Pretreatment with anti-hypertensive agents such as calcium antagonist as well as sedatives are mandatory even when endotracheal intubation without laryngoscope is scheduled in this disease.
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