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Perioperative Chest Pain/Dyspnea

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Perioperative Medicine

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Abstract

Perioperative ischemic chest pain/dyspnea typically afflicts patients with preexisting coronary artery disease or with cardiac risk factors. It is rare in patients with no cardiac risk factors who are undergoing low-risk surgery. Emergency surgery, vascular surgery, thoracic and upper abdominal surgery, and prolonged intraoperative hypotension are associated with the greatest risk of postoperative cardiac complications. The diagnosis and management of postoperative ischemic chest pain and heart failure is similar to nonoperative settings. Patients with postoperative ischemia need close follow-up after discharge. Communication with the primary care physician is crucial.

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Authors and Affiliations

  1. Johns Hopkins University, Baltimore, MD, USA

    Leonard S. Feldman

Authors
  1. Kalpana R. Prakasa
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  2. Leonard S. Feldman
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Corresponding author

Correspondence to Leonard S. Feldman .

Editor information

Editors and Affiliations

  1. Downstate Medical Center, State University of New York (SUNY), Hicks St. 339, Brooklyn, 11201, New York, USA

    Steven L. Cohn

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© 2011 Springer-Verlag London Limited

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Prakasa, K.R., Feldman, L.S. (2011). Perioperative Chest Pain/Dyspnea. In: Cohn, S. (eds) Perioperative Medicine. Springer, London. https://doi.org/10.1007/978-0-85729-498-2_36

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  • DOI: https://doi.org/10.1007/978-0-85729-498-2_36

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  • Publisher Name: Springer, London

  • Print ISBN: 978-0-85729-497-5

  • Online ISBN: 978-0-85729-498-2

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