Perioperative myocardial ischaemia.
نویسنده
چکیده
The goal of anaesthetic management in patients with coronary artery disease (CAD) is the prevention of perioperative myocardial ischaemia. This approach is based on the assumption that sustained intraoperative ischaemia may precipitate postoperative myocardial infarction (MI) with its attendant complications. This presentation will review available information regarding perioperative ischaemia, and discuss its possible relationship to postoperative MI.
منابع مشابه
Anaesthesia and myocardial ischaemia/reperfusion injury
Anaesthetists are confronted on a daily basis with patients with coronary artery disease, myocardial ischaemia, or both during the perioperative period. Therefore, prevention and ultimately adequate therapy of perioperative myocardial ischaemia and its consequences are the major challenges in current anaesthetic practice. This review will focus on the translation of the laboratory evidence of a...
متن کاملTriggers of perioperative myocardial ischaemia and infarction.
Cardiac complications are a major cause of morbidity and mortality after non-cardiac surgery. 64 However, the exact nature of perioperative myocardial injury remains elusive and an area of continued debate and controversy. 64 If triggers of perioperative myocardial ischaemic events could be identi®ed, appropriately taken preventive measures might improve perioperative cardiac outcome. Identi®ca...
متن کاملPerioperative myocardial ischaemia in patients undergoing transurethral surgery: a pilot study comparing general with spinal anaesthesia.
We have studied the incidence and duration of perioperative myocardial ischaemia using ambulatory ECG monitoring in 100 patients undergoing transurethral surgery, who were allocated randomly to receive either general or spinal anaesthesia. The overall incidence of myocardial ischaemia increased from 18% to 26% between the preoperative and postoperative periods. Patients with ischaemic heart dis...
متن کاملAnaesthesia and myocardial ischaemia/reperfusion injury.
Anaesthetists are confronted on a daily basis with patients with coronary artery disease, myocardial ischaemia, or both during the perioperative period. Therefore, prevention and ultimately adequate therapy of perioperative myocardial ischaemia and its consequences are the major challenges in current anaesthetic practice. This review will focus on the translation of the laboratory evidence of a...
متن کاملPreoperative myocardial ischaemia: its relation to perioperative infarction.
One hundred consecutive patients undergoing coronary artery bypass surgery were randomly allocated to a preoperative (24 h) intravenous infusion of isosorbide dinitrate (1.5-15 mg/hr) (50 patients) or to placebo (50 patients). The characteristics of the two groups were similar. Evidence of acute myocardial ischaemia was sought by continuous electrocardiographic Holter recordings and acute myoca...
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عنوان ژورنال:
- Canadian journal of anaesthesia = Journal canadien d'anesthesie
دوره 36 3 Pt 2 شماره
صفحات -
تاریخ انتشار 1989