Postoperative myocardial infarction in a patient with perioperative ST-depression--a case report.
Often we ignore electrocardiogram (EKG) evidence of ischemia and no adverse events occur. However, once in a while these ischemic episodes will turn into a full-blown myocardial infarction. Therefore, studying perioperative events which tilt the balance over to postoperative myocardial infarction (PMI) can enlighten our knowledge in postoperative myocardial infarction (MI) prevention. We present a case of ST depression in perioperative EKG evolving into postoperative MI. In this paper we attempt to explore various possibilities which could have altered this patient from her ischemic state into an infracted event.
Man
T T
TT
Department of Anesthesiology, Mackay Memorial Hospital, Taipei, Taiwan, R.O.C.
Lin
B C
BC
Rau
R H
RH
Chan
Y L
YL
Wu
K H
KH
Tsai
P S
PS
Cheng
C R
CR
D000368:Aged; D004562:Electrocardiography; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000209:etiology*; D017202:Myocardial Ischemia / Q000150:complications*; D011183:Postoperative Complications / Q000209:etiology*