Skip to main content

Anaesthesia in Coronary Heart Disease

  • Chapter
  • 56 Accesses

Abstract

Ischaemic heart disease is a major cause of morbidity and mortality in the population of western Europe and North America. Its prevalence is illustrated by the fact that over 40% of adult males in the age-range 45–55 die as a consequence of the disease. Furthermore, the problem of dealing with this condition is rendered more difficult by the fact that only one in ten patients with ischaemic heart disease may exhibit symptoms. As surgery is being performed on an increasingly ageing population, and the incidence of the disease is high among the elderly, anaesthetists are encountering the condition with increasing frequency.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Knapp RB, Topkins MJ, Artusio JF (1962) The cerebrovascular accident and coronary occlusion in anesthesia. JAMA 182: 332

    PubMed  CAS  Google Scholar 

  2. Topkins MJ, Artusio JF (1964) Myocardial infarction and surgery, a five year study. Anesth Analg (Cleve) 23: 716

    Google Scholar 

  3. Steen PA, Tinker JH, Tarhan S (1978) Myocardial reinfarction after anesthesia and surgery. JAMA 239: 2655

    Article  Google Scholar 

  4. Tarhan S, Moffitt EA, Taylor WE et al. (1972) Myocardial infarction after general anesthesia. JAMA 220: 1451

    Article  PubMed  CAS  Google Scholar 

  5. Goldman L, Caldera DL, Southwick FS, et al. (1978) Cardiac risk factors and complications in noncardiac surgery. Medicine 57: 357

    Article  PubMed  CAS  Google Scholar 

  6. Braunwald E (1971) Control of myocardial oxygen consumption: physiologic and clinical considerations. Am J Cardiol 27: 416

    Article  PubMed  CAS  Google Scholar 

  7. Klassen GA, Bramwell RS, Bromage PR, et al. (1980): Effect of acute sympathectomy by epidural anesthesia on the canine coronary circulation. Anesthesiology 52: 8

    Article  PubMed  CAS  Google Scholar 

  8. Verrier ED, Edelist G, Consigny PM, et al. (1980) Greater coronary vascular reserve in dogs anesthetized with halothane. Anesthesiology 53: 445

    Article  PubMed  CAS  Google Scholar 

  9. Smith G, Vance JP, Brown DM, et al. (1974) Changes in canine myocardial blood flow and oxygen consumption in response to halothane. Br J Anaesth 46: 821

    Article  PubMed  CAS  Google Scholar 

  10. Merin RG, Kumazawa T, Luka NL (1976) Myocardial function and metabolism in the conscious dog and during halothane anesthesia. Anesthesiology 44: 402

    Article  PubMed  CAS  Google Scholar 

  11. Merin RG, Verdouw PD, de Jong JW (1977) Dose-dependent depression of cardiac function and metabolism by halothane in swine (Sus scrofa). Anesthesiology 46: 417

    PubMed  CAS  Google Scholar 

  12. Merin RG (1969) Myocardial metabolism in the halothane-depressed canine heart. Anesthesiology 31: 20

    Article  PubMed  CAS  Google Scholar 

  13. Sonntag H, Merin RG, Donath U, et al. (1979) Myocardial metabolism and oxygenation in man awake and during halothane anesthesia. Anesthesiology 51: 204

    Article  PubMed  CAS  Google Scholar 

  14. Merin RG, Kumazawa T, Luka NL (1976) Enflurane depresses myocardial function, perfusion and metabolism in the dog. Anesthesiology 45: 501

    Article  PubMed  CAS  Google Scholar 

  15. Sonntag H, Schenk HD, Regensburger D, et al. (1973) Effects of Althesin (Glaxo CT1341) on coronary blood flow and myocardial metabolism in man. Acta Anaesthesiol Scand 17: 218

    Article  PubMed  CAS  Google Scholar 

  16. Sonntag H, Hellberg K, Schenk HD, et al. (1975) Effects of thiopental ( Trapanal) on coronary blood flow and myocardial metabolism in man. Acta Anaesthesiol Scand 19: 69

    Article  PubMed  CAS  Google Scholar 

  17. Folts JD, Alfonso S, Rowe GG (1975) Systemic and coronary haemodynamic effects of ketamine in intact anaesthetized and unanaesthetized dogs. Br J Anaesth 47: 686

    Article  PubMed  CAS  Google Scholar 

  18. Smith G, Thorburn J, Vance JP, et al. (1979) The effects of ketamine on the canine coronary circulation. Anaesthesia 34: 555

    Article  PubMed  CAS  Google Scholar 

  19. Marshall RJ, Parratt JR (1973) The effects of dipyridamole on blood flow and oxygen handling in the acutely ischaemic and normal canine myocardium. Br J Pharmacol 49: 391

    PubMed  CAS  Google Scholar 

  20. Chiariello M, Gold HK, Leinbach RC, et al. (1976) Comparison between the effects of nitroprusside and nitroglycerin on ischemic injury during acute myocardial infarction. Circulation 54: 766

    PubMed  CAS  Google Scholar 

  21. Smith G, Rogers K, Thorburn J (1980) Halothane improves the balance of oxygen supply to demand in acute experimental myocardial ischaemia. Br J Anaesth 52: 577

    Article  PubMed  CAS  Google Scholar 

  22. Bland JHL, Lowenstein E (1976) Halothane-induced decrease in experimental myocardial ischaemia in the non-failing canine heart. Anesthesiology 45: 287

    Article  PubMed  CAS  Google Scholar 

  23. Klocke FJ, Ellis AK, Orlick AE (1980) Sympathetic influences on coronary perfusion and evolving concepts of driving pressure, resistance and transmural flow regulation. Anesthesiology 52: 1

    Article  PubMed  CAS  Google Scholar 

  24. Vance JP, Brown DM, Smith G, et al. (1979) Coronary blood flow responses to hypoxia in the presence and absence of halothane. Br J Anaesth 51: 193

    Article  PubMed  CAS  Google Scholar 

  25. Vatner SF, Smith NT (1974) Effects of halothane on left ventricular function and distribution of regional blood flow in dogs and primates. Circ Res 34: 155

    PubMed  CAS  Google Scholar 

  26. Domenech RJ, Macho P, Valdes J, et al. (1977) Coronary vascular resistance during halothane anesthesia. Anesthesiology 46: 236

    Article  PubMed  CAS  Google Scholar 

  27. Kistner JR, Miller ED, Lake CL, et al. (1979) Indices of myocardial oxygenation during coronaryartery revascularisation in man with morphine versus halothane anesthesia. Anesthesiology 50: 324

    Article  PubMed  CAS  Google Scholar 

  28. Estafanous FG, Viljoen JF (1974) Effect of induction of anaesthesia and ventilation on e.c.g. signs of ischaemia in patients with acute coronary artery insufficiency. Anesth Analg (Cleve) 53: 610

    CAS  Google Scholar 

  29. Roy WL, Edelist G, Gilbert B (1979) Myocardial ischaemia during non-cardiac surgical procedures in patients with coronary artery disease. Anesthesiology 51: 393

    Article  PubMed  CAS  Google Scholar 

  30. Robinson BF (1967) Relation of heart rate and systolic blood pressure to the onset of pain and angina pectoris. Circulation 35: 1073

    PubMed  CAS  Google Scholar 

  31. Gaines GY, Giesecke AH (1980) Hypotension during noncardiac anesthesia in the cardiac patient. In: Brown BR Jr (ed) Anesthesia and the patient with heart disease. FA Davis Company, Philadelphia, p 101

    Google Scholar 

  32. Lieberman RW, Orkin FK, Schwartz AJ, et al. (1980) Predictors of ischaemia during CABG with halothane. Anesthesiology 53: S96

    Article  Google Scholar 

  33. Thomson IR, Lappas DG, Emerson CW, et al. (1980) Pre-op DPTI/SPTI: Predictor of intra-op ischaemia? Anesthesiology 53: S107

    Article  Google Scholar 

  34. Smith G (1976) The coronary circulation and anaesthesia (Editorial). Br J Anaesth 48: 933

    Article  PubMed  CAS  Google Scholar 

  35. Smith G, Vance JP, Brown DM (1973) The effect of propanidid on myocardial blood flow and oxygen consumption in the dog. Br J Anaesth 45: 691

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1982 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Smith, G. (1982). Anaesthesia in Coronary Heart Disease. In: Peter, K., Jesch, F. (eds) Inhalation Anaesthesia Today and Tomorrow. Anaesthesiologie und Intensivmedizin / Anaesthesiology and Intensive Care Medicine, vol 150. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-68713-6_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-68713-6_10

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-11757-5

  • Online ISBN: 978-3-642-68713-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics