provided the original work is properly cited. CC Violent coughing can trigger symptomatic hypotension and may further lead to a complete loss of consciousness, which is considered a 'cough syncope' in the latter case [1]. We experienced a case of cardiovascular collapse after coughing under spinal anesthesia. We report on the case with a review of the relevant literatures. A 73-year old man was...

AZATHIOPRINE is an antimetabolite widely used to suppress the immune system in recipients of organ transplants, as well as in patients with primary autoimmune disorders. Over the past 30 yr, it has proved to be an effective agent. However, multiple side effects have been reported, ranging in severity from fever and rash to cardiovascular collapse. We report an acute idiosyncratic reaction to az...

We read with interest the selected report of ARDS following administration of lidocaine by Howard and associates (Chest 1982; 81:644-45). A similar experience occurred at our institution and merits description. A 19-year-old woman had fiberoptic bronchoscopy performed to evaluate new, bilateral interstitial infiltrates. A diagnosis of histiocytosis X was made three years earlier when a patholog...

BACKGROUND Restrictive cardiomyopathy (RCM) is rare in children, and the prognosis is poor. In the present study, we evaluated all pediatric patients with RCM who were at our institution during a 31-year period to determine the clinical outcome and cause of death. Those who sustained sudden, unanticipated cardiac arrests were evaluated for risk factors that are predictive of sudden death. MET...

1. Short-term autonomic response to haemodialysis-induced hypovolaemia was studied in 30 patients undergoing chronic haemodialysis by analysing power spectra of heart-period variability. Patients were classified as haemodynamically stable (15 patients) and unstable (15 patients) according to their past history of cardiovascular collapse during the treatment. Blood volume, systolic arterial pres...

We present the case of an infant admitted to our department for a rapid broad complex tachycardia and cardiovascular collapse. The patient was submitted genetic testing because conduction defect at baseline ECG family history gene mutation. A new SCN5A mutation variant found leading diagnosis sodium-channel dysfunction arrhythmia.