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  • Title: [Two cases of TURP syndrome with severe cardiovascular depression].
    Author: Shido A, Kasai M, Hashimoto T, Nomura T, Sakura S, Saito Y.
    Journal: Masui; 2003 May; 52(5):512-4. PubMed ID: 12795133.
    Abstract:
    We report two cases of TURP (transurethral resection of prostate) syndrome showing severe cardiovascular depression without any neurological disturbances. One patient developed hypotension (62/42 mmHg) and ST segment depression (-2.7 mm) on ECG during TURP. Another patient developed hypotension (60/38 mmHg) and nodal bradycardia (34.min-1) 15 minutes after the operation. No neurological signs were observed, despite severe hyponatremia (113 and 117 mEq.l-1, respectively). It is highly likely that hypovolemia and/or electrophysiological inhibition of pacemaker cell due to hyponatremia caused the symptoms. We emphasize that sudden circulatory depression as well as neurological disorders should be recognized as a major symptom of TURP syndrome.
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