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Fatal delayed hemodynamic depression after carotid artery stenting
Authors:George Joseph  Varsha Kiron  Bobby John
Affiliation:aProfessor, Department of Cardiology, Christian Medical College, Vellore, India;bPost-graduate Registrar, Department of Cardiology, Christian Medical College, Vellore, India
Abstract:Refractory and fatal hemodynamic depression remarkably occurred eight hours after left carotid artery stenting in a 62-year-old male who had no hemodynamic instability till then; possible contributory factors were pre-existing moderate left ventricular systolic dysfunction and new-onset complete heart block caused by vasopressor-induced sympathetic stimulation in the presence of covert distal conduction system disease.
Keywords:Carotid stenosis   Stents   Left ventricular dysfunction   Cardiac conduction defect
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