Myocardial ischemia in the postanesthesia care unit: a case report.
Indications of myocardial ischemia should be treated quickly and effectively to avoid permanent myocardial damage. This article describes a case of myocardial ischemia detected in the postanesthesia care unit following an excision of a facial/neck hematoma in an 83-year-old male. The patient had undergone extensive facial reconstructive surgery for squamous cell carcinoma the previous day. Marked ST-elevation in lead II and T-wave inversion in lead V5 were noted and the patient was treated promptly. Cardiac complications can occur in 1% to 5% of patients who have major noncardiac surgery.
Wada
Amy
A
Nurse Anesthesia Program, Wake Forest University Baptist Medical Center, University of North Carolina at Greensboro, Winston-Salem, USA. The30Wad@aol.com
D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D006406:Hematoma / Q000601:surgery; D006801:Humans; D008297:Male; D009061:Mouth Mucosa / Q000473:pathology; D009062:Mouth Neoplasms / Q000601:surgery; D017202:Myocardial Ischemia / Q000209:etiology*; D011183:Postoperative Complications / Q000503:physiopathology*; D019651:Plastic Surgery Procedures