Myocardial Infarction During and Following Anesthesia and Operation

Plumlee, John; Boettner, Robert B.

doi:10.1097/00007611-197207000-00025

Cited by 31 publications

(8 citation statements)

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“…Epidural analgesia has also been shown to reduce ischaemic and tachyarrhythmic episodes during the first 24 h after surgery in patients at increased risk of ischaemic cardiac disease75. As myocardial ischaemia usually develops between 36 and 48 h after surgery86–92 and most myocardial infarcts occur during the first 3 days92–95, there is a need for a large study in which epidural analgesia is maintained for 72 h after operation, to determine whether it protects against postoperative cardiac ischaemia.…”

Section: Other Intraoperative Effects Of Epidural Analgesiamentioning

confidence: 99%

Epidural analgesia in gastrointestinal surgery

Fotiadis

Badvie

Weston

et al. 2004

British Journal of Surgery

133

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Section: Other Intraoperative Effects Of Epidural Analgesiamentioning

confidence: 99%

Epidural analgesia in gastrointestinal surgery

Fotiadis

Badvie

Weston

et al. 2004

British Journal of Surgery

133

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“…Group I (1977-1982) [4]. Hypotension was a factor in infarction in the studies of Ashton and Plumlee [6,20]. However, these pressure changes most likely resulted from, rather than caused the infarction.…”

Section: Complications Of Vascular Surgerymentioning

confidence: 99%

Can vascular surgery be performed soon after myocardial infarction?

Gandhi¹,

Lipski²,

Havstad³

et al. 2001

Int J Angiol

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“…Some studies [3,34,40,76] do not distinguish between patients with and those without previous MI, and report PMI rates varying from 0.08% to 2.4%, the highest tending to be in studies reporting mainly on patients with previous MI. In addition, the study by Baur, Nakhjavan and Kajani [6] reported an extreme 16% incidence in 150 patients selected at random from a surgical list.…”

Section: Incidence Of Pmimentioning

confidence: 99%

“…It is, therefore, perhaps not surprising that PMI have been revealed throughout the peri-and postoperative periods. Steen, Tinker and Tarhan [94] reported that 25% and Plumlee and Boettner [76] that 41 % of MI were discovered during the operation, while both Tarhan and colleagues [96] and Rao, Jacobs and El-Etr [80] reported a peak incidence on the 3rd day after operation.…”

mentioning

confidence: 99%

“…This is especially true as a large number of the infarcts, varying from 21 % [96] to more than 60 % [6,34,94], are silent. The first indication of an infarction has often been cardiovascular collapse [76,94], or hypotension or arrhythmia which have led the attending physician to investigate [6,80,94,96]. It is, therefore, perhaps not surprising that PMI have been revealed throughout the peri-and postoperative periods.…”

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confidence: 99%

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Perioperative Myocardial Infarction

Haagensen¹,

Steen²

1988

British Journal of Anaesthesia

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The risk of developing myocardial infarction (MI) in connection with surgery and anaesthesia has been recognized for at least 75 years [19, 79, 93, 101]. Since then numerous reports have been published, some describing the incidence and characteristics of perioperative myocardial infarction (PMI), others the risk factors involved. To compare these publications is difficult because of the great span in years between various studies, and the variability in study conditions such as selection and size of population, the use of a retrospective or a prospective approach, variations in postoperative care, the method of diagnosis of PMI etc. These factors can at least partly explain the variability and even contradictions observed in results. In most of these studies statistical evaluation also leaves much to be desired. The questions are often multifactorial, without the appropriate tests being performed. Performing simple chi-squared tests on whether sex, age, type or duration of anaesthesia etc, influence the infarction rate, does not provide a correct picture. There is often some co-variation between many of these factors, such as duration of anaesthesia and type of surgery. Thus the papers should be evaluated critically and the effects of a single factor reported in a single paper should be interpreted with caution. Even more impressive, therefore, are the similarities in some of the results in spite of these differences in methodology, and certain trends appear in the literature that are important to the daily work of the anaesthetist. In this review we have concentrated on the epidemiological aspects of PMI and the risk factors that have practical consequences in the treatment of patients. Frontline research concerning the pathophysiology of myocardial ischaemia and infarction and possible effects of

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Myocardial Infarction During and Following Anesthesia and Operation

Cited by 31 publications

References 0 publications

Epidural analgesia in gastrointestinal surgery

Epidural analgesia in gastrointestinal surgery

Can vascular surgery be performed soon after myocardial infarction?

Perioperative Myocardial Infarction

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