Elective surgery days after myocardial infarction: clinical and ethical considerations.
We present an unusual case of verified myocardial infarction without surgery. Successful elective lumbar spine surgery was performed 4 days post-myocardial infarction during perioperative beta-blockade, after cardiology evaluation recommended surgery without further evaluation. Clinical and ethical considerations are discussed.
Ee
Pei-Lee
PL
Department of Anesthesiology, University of Pittsburgh Medical Center, Presbyterian University Hospital, Pittsburgh, PA 15213, USA.
Kempen
Paul M
PM
D000319:Adrenergic beta-Antagonists / Q000008:administration & dosage; D000768:Anesthesia, General / Q000009:adverse effects*; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage; D001241:Aspirin / Q000008:administration & dosage; D001416:Back Pain / Q000209:etiology; D001794:Blood Pressure / Q000187:drug effects; D003657:Decision Making / Q000502:physiology; D017558:Elective Surgical Procedures / Q000941:ethics*; D004562:Electrocardiography / Q000379:methods; D005260:Female; D006339:Heart Rate / Q000187:drug effects; D006801:Humans; D008159:Lumbar Vertebrae / Q000601:surgery; D008790:Metoprolol / Q000008:administration & dosage; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000209:etiology; D009407:Nerve Block / Q000379:methods; D013610:Tachycardia / Q000188:drug therapy
D000319:Adrenergic beta-Antagonists; D000894:Anti-Inflammatory Agents, Non-Steroidal; D008790:Metoprolol; D001241:Aspirin