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Heart Disease (Expert Forum)
anesthesia
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.
anesthesia
by VickiLyn__0, Oct 21, 1998 12:00AM
Do you have record of bradycardia patients not being able to utilize
morphine as an anesthetic?
My son (15) has malignant vaso-depressor syncope w/pace-maker, taking beta
blockers and steroid.
He also has flushing for which he is taking Claritin.
He also has an inflamatory bowel disease for which he is undergoing research
to determine treatment.
Upon determining if he had carcinoid syndrome, he underwent many scans, bio-
chemical testing and biopsies. Prior to an appendectomy, I am sure I heard
the anesthesiologist remark that he could not use morphine due to the
Bradycardia. It was the first I had heard that, and they were all in a hurry
so I did not get a chance to question it.
Early in the summer, my son had a colonoscopy performed, was given Demoral.
He had an allergic reaction to it during the procedure. He had another
colonoscopy done just last week, and though it was in his charts concerning
the morphine by my remark, it was overlooked and he was given morphine. He
was monitored closely and there were no subsequent problems, but I would
still like to know if there is a restriction of morphine with Bradycardia
patients.
Thank you in advance.
VickiLynn
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Dear VickiLynn,
Thank you for your question. There is no contraindication to give morphine to someone with bradycardia. Morphine can lower blood pressure and low blood pressure is a relative contraindication.
I hope you find this information useful. Information provided in the heart forum is for general purposes only. Only your physician can provide specific diagnoses and therapies. Please feel free to write back with additional questions.
If you would like to make an appointment at the Cleveland Clinic Heart Center, please call 1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter. The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your cardiac problem.
