Intraoperative myocardial ischaemia in surgical patients with treated ischaemic heart disease.
Twenty patients were divided into 2 groups. Group - A had 10 ASA Grade I while Group - B consisted of 10 asymptomatic patients with ECG evidence of ischaemia. One week of coronary dilator treatment was given to the patients in group-B before surgery. Intra operative cardioscopic monitoring was done in both the groups. In group-B, 5 patients showed ECG evidence of intraoperative myocardial ischaemia, and/or ventricular ectopics, which were in most cases attributable to anaesthetic/surgical stimuli but were not always associated with increased Rate pressure product. In group-A only one patient showed ECG evidence of ischaemia intraoperatively. It is therefore concluded that patients with optimal therapy for IHD continue to be at risk of intraoperative cardiovascular abnormalities.
Khan
R M
RM
Department of Anaesthesiology, Jawahar Lal Nehru Medical College Hospital, Aligarh Muslim University, U.P. India.
Khan
T Z
TZ
Sud
P
P
Haq
G
G
Zafaruddin
M
M
D001262:Atenolol / Q000627:therapeutic use; D001794:Blood Pressure / Q000502:physiology; D003327:Coronary Disease / Q000601:surgery*; D004562:Electrocardiography; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000503:physiopathology / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology* / Q000503:physiopathology / Q000517:prevention & control; D009543:Nifedipine / Q000627:therapeutic use; D011674:Pulse / Q000502:physiology; D012307:Risk Factors
D001262:Atenolol; D009543:Nifedipine