title: [Perioperative myocardial protection in non-cardiac surgery].
abstract: Due to ongoing demographic changes more and more older patients with co-existent cardiac diseases undergo non-cardiac surgery. The risk of postoperative complications, notably myocardial ischemia, is raised in these patients. An accurate preparation before surgery including the risk profile and the management of co-medication is of paramount importance. Beta-blockers and statins should be continued perioperatively. The management of platelet aggregations inhibitors requires an interdisciplinary approach. During surgery, tachycardia as well as hypertension and hypotension should be treated consequently. Perioperative myocardial infarction is often asymptomatic and diagnosis can be difficult. Sufficient analgesia is important in postoperative care of patients with co-existing cardiac diseases.
authors.forename: Jan
authors.initials: J
authors.lastname: Stumpner
authors.forename: Markus
authors.initials: M
authors.lastname: Lange
authors.forename: Norbert
authors.initials: N
authors.lastname: Roewer
authors.forename: Peter
authors.initials: P
authors.lastname: Kranke
authors.forename: Thorsten M
authors.initials: TM
authors.lastname: Smul
mesh_terms: D006331:Heart Diseases / Q000209:etiology* / Q000517:prevention & control*; D006801:Humans; D059351:Organ Sparing Treatments / Q000379:methods; D061214:Patient Safety; D019990:Perioperative Care / Q000379:methods*; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control*; D013514:Surgical Procedures, Operative / Q000009:adverse effects*