Therapy of Perioperative Myocardial Ischemia

  • B. Allaria
  • M. Favero
  • M. Dei Poli
Conference paper


The treatment of myocardial ischemia varies substantially depending on when it is performed, i.e. whether preoperatively, intraoperatively or postoperatively.


Myocardial Ischemia Acute Myocardial Infarction Unstable Angina Myocardial Damage Aortic Surgery 
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  1. 1.
    Hollenberg M (1994) Therapeutic approaches to postoperative ischemia. Am J Cardiol 73: 30B–33BPubMedCrossRefGoogle Scholar
  2. 2.
    Allaria B, Dei Poli M, Brunetti B, Trivellato A (1994) Computerized analysis of biologic cardiovascular signals: prospectives monitoring. 9th Eur Congress of Anesth (Abs)Google Scholar
  3. 3.
    Swenson JD, Harkin CH, Pace NL et al (1996) Transesophageal echocardiography: an objective tool in defining maximum ventricular response to intravenous fluid therapy. Anesth Analg 83: 1149PubMedGoogle Scholar
  4. 4.
    Boden W (1997) Risultati dello studio WANQUIST esposto al Congresso Annuale dell’American College of Cardiology. Clinical Cardiology Alert 46-47Google Scholar
  5. 5.
    Williams DO, Braunwald E, Thompson B et al (1996) Angioplasty in unstable angina: the role of thrombolytic therapy. Circulation 94: 2749–2755PubMedCrossRefGoogle Scholar
  6. 6.
    Mangano DT (1990) Perioperative cardiac morbidity. Anesthesiology 72: 153–184PubMedCrossRefGoogle Scholar
  7. 7.
    Cope DK, Impastato WK, Cohen MV, Downey JM (1997) Volatile anesthetics protect the ischemic rabbit myocardium from infarction. Anesthesiology 86: 699–709PubMedCrossRefGoogle Scholar
  8. 8.
    Crystal GJ, Gurevicius J, Salem MR, Zhou K (1997) Role of adenosin triphosphate sensitive potassium channels in coronary vasodilation by halothane, isoflurane and enfluorane. Anesthesiology 86: 448–458PubMedCrossRefGoogle Scholar
  9. 9.
    Kowalski C, Zahler S, Becker BF et al (1997) Halothane, isofluorane and sevofluorane reduce post ischemic adhesion of neutrophilis in the coronary system. Anesthesiology 86: 188–195PubMedCrossRefGoogle Scholar
  10. 10.
    Boutros A, Wany J, Capuano C (1997) Isfluorane and halothane increase ATP preservation but do not provide additive recovery of function after ischemia, in precondition rat hearts. Anesthesiology 86: 109–117PubMedCrossRefGoogle Scholar
  11. 11.
    Marsch SCU, Dalmas S, Philbin DM et al (1997) Effects of interactions of nitrous oxide myocardial ischemia and reperfusion on left ventricular diastolic function. Anesth Analg 84: 39–45PubMedGoogle Scholar
  12. 12.
    Houltz E, Caidahl K, Hellstrom A (1995) The effects of nitrous oxide on left ventricular systolic and diastolic performance before and after cardiopulmonary bypass: evaluation by computer assisted two dimensional and Doppler ecocardiography in patient undergoing coronary artery surgery. Anesth Analg 81: 243–248PubMedGoogle Scholar
  13. 13.
    Bloor BC, Ward DS, Belleville JP, Maze M (1992) Effects of intravenous dexnedetomidine in humans. Anesthesiology 77: 1134–1142PubMedCrossRefGoogle Scholar
  14. 14.
    Kharkevitch T (1997) Hemodynamic contribution to perioperative myocardial ischemia and its impact on postoperative ACO: effect of mivaserol. UCB Symposium ESA Lausanne May 1997Google Scholar
  15. 15.
    Mangano DT, Siciliano D, Hollenberg M et al (1992) Postoperative myocardial ischemia-therapeutic trials using intensive analgesia following surgery. Anesthesiology 76: 342–353PubMedCrossRefGoogle Scholar
  16. 16.
    Wulfart E (1997) Modulation of sympathetic hyperactivity via the activation of α2 adrenoceptor in spinal cord and stellate ganglia: study of effects and mode of action of mivaserol. UCB Symposium ESA Lausanne May 1997Google Scholar
  17. 17.
    Adams JE, Schechtman KB, Landt Y (1994) Comparable detection of acute myocardial infarction by creatin kinase MB isoenzyme and cardiac troponin I. Clinical Chemistry 40: 1291–1295PubMedGoogle Scholar
  18. 18.
    Machler H, Metzler H, Sabin K (1994) Preoperative myocardial cell damage in patients with unstable angina undergoing coronary artery bypass graft surgery. Anesthesiology 81: 1324–1331PubMedCrossRefGoogle Scholar
  19. 19.
    Metzler H, Gries M, Rehak P et al (1997) Perioperative myocardial cell injury: the role of troponins. Brit J Anesth 78: 386–390CrossRefGoogle Scholar
  20. 20.
    Lee TH, Thomas EJ, Ludwig LE (1996) Troponin T as a marker for myocardial ischemia in patients undergoing major non cardiac surgery. Am J Cardiol 77: 1031–1036PubMedCrossRefGoogle Scholar
  21. 21.
    Katus HA, Schoeppentau M, Tanzeem A (1991) Non invasive assessment of perioperative myocardial cell damage by circulating troponin T. Brit Heart J 65: 259–264PubMedCrossRefGoogle Scholar
  22. 22.
    Adonis JE, Bodoz GS, Dàvila-Romàn VG (1993) Cardiac troponin I. A marker with high specificity for cardiac injury. Circulation 88: 101–106CrossRefGoogle Scholar
  23. 23.
    Fernandez AR, Seigneira RF, Chakko S et al (1995) ST segment tracking for rapid determination of patency of the infart related artery in AMI. J Am Coll Cardiol 26: 675–683PubMedCrossRefGoogle Scholar
  24. 24.
    Jain U (1997) Electrocardiographic and hemodynamic changes and their association with myocardial infarction during coronary artery bypass surgery. Anesthesiology 86: 576–591PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia, Milano 1998

Authors and Affiliations

  • B. Allaria
  • M. Favero
  • M. Dei Poli

There are no affiliations available

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