Perioperative Chest Pain/Dyspnea
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.
KeywordsAngiotensin Converting Enzyme Inhibitor Primary Percutaneous Coronary Intervention Noncardiac Surgery Ventricular Septal Rupture Metoprolol Succinate
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