Document Detail

Perioperative myocardial ischemia and infarction. Detection of myocardial ischemia using continuous electrocardiography.
MedLine Citation:
PMID:  1577538     Owner:  NLM     Status:  MEDLINE    
Continuous ECG recording of ST segments can provide important insight into the effects of CAD in patients before, during, and after anesthesia and surgery. The stresses of anesthesia and surgery are particularly threatening to the patient with critical coronary disease and ischemia. ST-segment monitoring is a useful alternative to preoperative stress ECG in patients who are unable to exercise, particularly if radionuclide techniques are not readily available. Continuous ST-segment monitoring provides an additional and unique method of monitoring patients during and after surgery, and on-line analysis of such data provides the anesthesiologist with opportunities to recognize and promptly respond to ischemic episodes. Future studies will determine whether such aggressive strategies will alter the outcome for patients with perioperative myocardial ischemia.
S O Gottlieb
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.; Review    
Journal Detail:
Title:  International anesthesiology clinics     Volume:  30     ISSN:  0020-5907     ISO Abbreviation:  Int Anesthesiol Clin     Publication Date:  1992  
Date Detail:
Created Date:  1992-06-10     Completed Date:  1992-06-10     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0370760     Medline TA:  Int Anesthesiol Clin     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  19-30     Citation Subset:  IM    
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MeSH Terms
Coronary Disease / complications,  diagnosis*
Electrocardiography, Ambulatory* / methods*
Monitoring, Intraoperative / instrumentation,  methods*
Surgical Procedures, Operative*
Grant Support

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