Postoperative Intensive Care Therapy — In Which Patients and for How Long?

  • T. Möllhoff
Conference paper


Cardiovascular disease is the leading cause of death in developed and undeveloped countries. It is estimated that in the beginning of the next millenium 33% of all patients undergoing surgery will be older than 65 years of age or having two or more cardiovascular risk factors. 10% of these patients at risk for cardiovascular complications in the perioperative period will suffer a myocardial infarction [1]. In a recently published study in patients at risk for perioperative myocardial infarction (PMI) by Badner et al., the incidence of PMI was 5.6% of which 17% were fatal [2]. Two major findings of this study are of great importance for postoperative surveillance of patients at risk:
  1. 1.

    only 17% of all patients experiencing PMI had chest pain whereas 56% of the patients had other clinical signs;

  2. 2.

    the majority of PMI occurred on the day of surgery.



Cardiac Risk General Ward Critical Care Unit Noncardiac Surgery Intermediate Care 


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Copyright information

© Springer-Verlag Italia 1999

Authors and Affiliations

  • T. Möllhoff
    • 1
  1. 1.Dept. of Anaesthesia and Intensive CareWilhelms UniversityMünsterGermany

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