Coronary artery disease in surgical patients. Perioperative management.
With effective communication, optimal use of perioperative therapeutic techniques, and postoperative follow-up, the medical, surgical, and anesthetic teams can prevent or minimize cardiac complications that occur during the postoperative period. Up to 50% of postoperative myocardial infarctions may be silent, or they may present as congestive heart failure, hypotension, or arrhythmia. Dyspnea is a common finding. All high-risk patients should be monitored in the intensive care unit during the first 7 days after surgery, when adverse cardiac events are most common.
Corapi
M J
MJ
Division of General Internal Medicine, Winthrop-University Hospital, Mineola, NY 11501.
Della Ratta
R K
RK
D000758:Anesthesia; D003327:Coronary Disease / Q000628:therapy*; D006801:Humans; D016343:Monitoring, Intraoperative; D009203:Myocardial Infarction / Q000209:etiology / Q000628:therapy; D011183:Postoperative Complications; D013514:Surgical Procedures, Operative