From Brazil....: ADRIAMYCIN CARDIOTOXICITY, BEZOLD-JARISCH REFLEX OR BOTH?

Sir, I have read with interest the work of Chander et al. which reports the case of a patient receiving adriamycin who presented pulseless electrical activity during anesthetic procedure1. Authors have reported that the patient presented a hypertensive crisis during surgery treated with an intravenousinfusion of nitroglycerin. Two minutes later, the patient presented bradycardia, hypotension and pulseless electrical activity.