Document Detail


Detection of right ventricular ischaemia during coronary surgery by means of a right precordial lead.
MedLine Citation:
PMID:  8889428     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study was designed to determine the intra-operative incidence of right-sided ventricular ischaemia and any association with left ventricular ischaemia. In 60 patients, undergoing coronary artery bypass grafting surgery, a right-sided precordial lead V5R was used. ST segment deviation of more than 1 mm in V5R was considered significant for myocardial ischaemia. Right ventricular ischaemia occurred in 14 patients (23.3%) but was not associated with left ventricular inferior wall ischaemia. In 4 patients (6.6%) presenting with right ventricular ischaemia, ischaemia of the left inferior wall also developed but in all cases was transient and disappeared by the end of surgery. No myocardial infarction was detected in the post-operative period. The present study showed that the use of a right-sided lead may improve intra-operative electrocardiographic monitoring, by revealing ischaemia in those patients in whom ECG abnormalities were not detected by conventional leads. The transient right ventricular ischaemia recorded in this study was probably related to a reduced hypothermic protection of the right ventricle during aortic cross clamping.
Authors:
L Pagani; M Simeone; G Franciosi; M Cao; F Loria; G Pelosi
Related Documents :
1577538 - Perioperative myocardial ischemia and infarction. detection of myocardial ischemia usin...
7867198 - St segment elevation at the surface of a healed transmural myocardial infarction in pig...
7591318 - Non-invasive assessment of reperfusion of the infarct-related artery during coronary th...
2245108 - Transient myocardial ischaemia after acute myocardial infarction.
3796268 - Practicability and reliability of model of cerebral infarction in dog by microneurosurg...
23330088 - Cardioprotective properties of dimethyl sulfoxide during global ischemia-reperfusion of...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of anaesthesiology     Volume:  13     ISSN:  0265-0215     ISO Abbreviation:  Eur J Anaesthesiol     Publication Date:  1996 Sep 
Date Detail:
Created Date:  1997-01-31     Completed Date:  1997-01-31     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8411711     Medline TA:  Eur J Anaesthesiol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  511-4     Citation Subset:  IM    
Affiliation:
Servizio di Anestesia e Rianimazione II, Ospedale Maggiore della Carità-Novara, Italy.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Coronary Artery Bypass*
Electrocardiography* / methods
Female
Humans
Intraoperative Complications / diagnosis*
Male
Middle Aged
Monitoring, Intraoperative / methods
Myocardial Ischemia / diagnosis*
Ventricular Function, Right*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Thermoregulatory and metabolic responses following cardiac surgery.
Next Document:  Epidural bupivacaine/fentanyl infusions vs. intermittent top-ups: a retrospective study of the effec...