Gary Wise, M.D.; Richard Leighton, M.D., F.A.C.P.; Mary E. Fontana, M.D.; James Burkholder, M.D.; John Robinson, M.D.; Richard Lewis, M.D., F.A.C.P.
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Five normotensive patients developed severe brain dysfunction during cardiac angiography. Four had angiography because of recurrent, severe angina pectoris, and one patient had valvular aortic stenosis. Hemiplegia and other focal neurologic signs developed after coronary arteriography and left ventricular angiography. Hypotension, cardiac arrhythmias, chest pain, ECG changes, or clinical evidence of heart failure did not occur. The neurologic deficit disappeared when the blood pressure was raised to 160 to 180 mm Hg systolic by an intravenous infusion of either levarterenol bitartrate or phenylephrine. During the immediate postarteriogram period the focal neurologic dysfunction returned whenever the blood pressure was allowed to
Wise G, Leighton R, Fontana ME, Burkholder J, Robinson J, Lewis R. Treatment of Brain Ischemia after Cardiac Angiography.. Ann Intern Med. 1972;76:868–869. doi: 10.7326/0003-4819-76-5-868_4
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Published: Ann Intern Med. 1972;76(5):868-869.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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