Anaesthetic Considerations for Major Cardiovascular Surgery

  • J. O. Auler
  • F. R. B. Gomes Galas
Conference paper


Patients with coronary heart disease are at risk of cardiac complications during major cardiovascular surgery. Looking at this point, patients with ischemic heart disease may have to undergo a non-cardiac surgery or a coronary artery bypass grafting surgery (CABG). For the first group, the main emphasis is related to multiple strategies addressed in diagnosing coronary disease and subsequently in intraoperative prevention, when it is diagnosed. The most widely accepted procedure is based on the presence of preoperative risk factors, extent and type of surgery as well as exercise tolerance. Patients suffering from peripheral vascular disease have a high incidence of ischemic heart disease and perioperative cardiac morbidity [1]. Several non-invasive tests have been proposed for the diagnosis of ischemic heart disease and risk stratification before surgery. Four major tests: exercise electrocardiography, dipyridamole-thallium imaging, ambulatory electrocardiography, dobutamine stress echocardiography were all quite predictive of perioperative cardiac events [2].


Nitrous Oxide Myocardial Ischemia Coronary Blood Flow Noncardiac Surgery Thoracic Epidural Anesthesia 
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© Springer-Verlag Italia, Milano 1998

Authors and Affiliations

  • J. O. Auler
  • F. R. B. Gomes Galas

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