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Monitoring and Assessment of Perioperative Vital Functions in Major Non-Cardiac Surgery

  • B. Allaria
  • M. Resta
Conference paper

Abstract

In recent years, there has been a rise in the number of reports of perioperative and postoperative cardiovascular complications that once went unobserved. The study by Badner et al. [1] demonstrated that in-depth analysis can reveal the presence of acute myocardial infarction (AMI) in the perioperative phase of major non-cardiac surgery to a much greater extent than is usually noted. Using multiple-lead electrocardiography (ECG) in the operating theater, repeated postoperative ECG, regular enzymatic checks (troponin T twice a day for the entire postoperative period), and myocardial scintigraphy with technetium- 99m pyrophosphate in case of doubt, the authors found 18 cases of AMI (5.6%) in 323 patients over the age of 50 years at risk for myocardial ischemia. Of these, most of these events (14) took place on the day surgery was performed or the next day. It is important to note that only 3 patients experienced precordial pain and that most (10) had a non-Q AMI. Consequently, it is clear that AMI is a complication that is anything but rare among risk patients undergoing major non-cardiac surgery. Given its characteristics, however, it may go unobserved and thus untreated.

Keywords

Acute Myocardial Infarction Mental Stress Noncardiac Surgery Coronary Endothelial Dysfunction Precordial Pain 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Italia 2002

Authors and Affiliations

  • B. Allaria
    • 1
  • M. Resta
    • 1
  1. 1.Intensive Care UnitNational Institute for the Study and Treatment of TumoursMilanItaly

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