Case 22-2023: A 59-Year-Old Woman with Hypotension and Electrocardiographic Changes

A 59-year-old woman with a pituitary mass and acromegaly had hypotension and ECG changes after the administration of anesthetics before transsphenoidal hypophysectomy. Management decisions were made.

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Bibliographic Details
Published in:	The New England journal of medicine Vol. 389; no. 3; pp. 263 - 272
Main Authors:	van Klei, Wilton A., Szabo, Michele D., Hesterberg, Paul E.
Format:	Journal Article
Language:	English
Published:	United States Massachusetts Medical Society 20-07-2023
Subjects:	Acromegaly Acute Coronary Syndromes Allergy Anesthesia Anesthetics Arthritis Blood pressure Cardiology Cardiology General Cardiovascular disease Case reports Clinical Medicine Clinical Medicine General Coronary Disease Coronary vessels Critical Care Ejection fraction Electrocardiography Emergency Medicine Endocrinology Endocrinology General Female Fentanyl Heart rate Hospital-Based Clinical Medicine Hospitals Humans Hypertension Hypotension Hypotension - etiology Immunology Immunology General Intensive care Intubation Ischemia Middle Aged Myocardial Infarction Neurosurgery Oxygen saturation Pain Pituitary Pulmonary Risk factors Shock Skin Sleep apnea Surgery Surgery General Weight control
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Description
Summary:	A 59-year-old woman with a pituitary mass and acromegaly had hypotension and ECG changes after the administration of anesthetics before transsphenoidal hypophysectomy. Management decisions were made.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0028-4793 1533-4406
DOI:	10.1056/NEJMcpc2300898