Intraoperative monitoring of myocardial ischemia.
Cardiovascular complications are commonly observed in surgical patients, and myocardial ischemia is the most important determinant of perioperative morbidity. The clinical criteria defining a patient population at increased risk for cardiovascular events are presented. The authors review the principles of monitoring and diagnosing myocardial ischemia, focusing on eletrocardiography and TransEsophageal Echocardiography. These patients must be closely followed long after the end of surgery, since the risk for cardiac morbidity is high for several hours postoperatively.
Bigatello
L M
LM
Department of Anesthesia & Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA. bigafox@libero.it
Coppo
A
A
D017548:Echocardiography, Transesophageal; D004562:Electrocardiography / Q000379:methods*; D015716:Electrocardiography, Ambulatory; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis*; D016343:Monitoring, Intraoperative / Q000379:methods*; D017202:Myocardial Ischemia / Q000175:diagnosis*; D013997:Time Factors