Myocardial Infarction During and Following Anesthesia and Operation

Plumlee, John; Boettner, Robert B.

doi:10.1097/00132586-197306000-00043

Cited by 2 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…10 129 In the general elderly population over 60 yr, the incidence of MI after non-cardiac surgery is reported to be 0.1±0.15%, 108 109 with mortality as high as 50±83%. 109 Tables 2 and 3 list the clinical predictors of increased perioperative cardiovascular risk 47 and the cardiac risk strati®cation index for non-cardiac surgical procedures, 47 respectively, for the general population.…”

Section: Predictive Factorsmentioning

confidence: 99%

Minimizing perioperative adverse events in the elderly

Jin

Chung

2001

British Journal of Anaesthesia

258

135

View full text Add to dashboard Cite

show abstract

Section: Predictive Factorsmentioning

confidence: 99%

Minimizing perioperative adverse events in the elderly

Jin

Chung

2001

British Journal of Anaesthesia

258

135

View full text Add to dashboard Cite

show abstract

“…Patients with coronary artery stenosis run a considerable risk of developing myocardial infarction in connection with anaesthesia and surgery (1,2). During coronary artery surgery the risk is most marked before and during cardiopulmonary bypass.…”

Section: Discussionmentioning

confidence: 99%

Sequential Myocardial Depressant and Non-Depressant Anaesthesia for Coronary Artery Surgery

Settergren¹

1986

Cardiac Anaesthesia: Problems and Innovations

View full text Add to dashboard Cite

Patients undergoing coronary artery surgery run a certain risk of developing myocardial infarction in situations with increased myocardial oxygen demand due to e.g. elevations in heart rate and blood pressure. After cardiopulmonary bypass (CPB) there is, however, also the risk of graft occlusion. The prcsent study evaluated the haemodynamic effects of a sequential anaesthesiological techniquc using halothane 0.5-1.5?& in combination with 50% nitrous oxide and droperidol 0.1 m g x kg b.w.-I before CPB followed by fentanyl 0.2 mg x h-' in continuous i.v. infusion and diazepam I s 1 5 mg during and after bypass. Fourteen patients were studied. In seven patients (Group I) halothane was discontinued immediately before CPB and in the following seven patients (Group 11) 1&15 min before bypass. The aim was to depress moderately the inotropic state before bypass and to have a normalized myocardial oxygen demand aftrr CPB in order to promote a good flow in the grafts. In Group I1 mean left ventricular stroke work index (L\.'SWI) was 0.54-0.79 J x m-* after bypass as compared to 0.45-0.51 before at comparable filling pressure. Mean left ventricular power index (LVPI) increased from 0.42-0.55 W x m-2 before to 0.73-1.08 after CPB. 'The patients in Group I showed a similar pattern although with a less marked difference in LVSWI and LVPI values before and after bypass. No correlation was seen between oxygen delivery and oxygen uptake ?ither below or above an oxygen delivery of 15 mmol x min-I x m-2.

show abstract

Myocardial Infarction During and Following Anesthesia and Operation

Cited by 2 publications

References 0 publications

Minimizing perioperative adverse events in the elderly

Minimizing perioperative adverse events in the elderly

Sequential Myocardial Depressant and Non-Depressant Anaesthesia for Coronary Artery Surgery

Contact Info

Product

Resources

About