An unusual case of ST elevation

Abstract

This report presents an unusual case of ST elevation on induction of anaesthesia in a patient undergoing an elective, noncardiac surgical procedure. Through scrutiny of this case and its unanticipated events, together with the subsequent workup and management, the diagnosis of coronary artery vasospasm may be appreciated as an important entity of coronary artery disease. It serves to highlight coronary artery vasospasm as an underappreciated diagnosis, to allow the anaesthetist to anticipate it as a potential risk in certain populations, and to distinguish it from other coronary artery disease and to institute appropriate management.