Document Detail


Postoperative ST-segment elevation in coronary artery bypass surgery.
MedLine Citation:
PMID:  3486097     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Using Holter monitors, 50 patients were monitored for vasospasm following coronary artery bypass surgery. Transient 2 mm ST-segment elevation was considered to be diagnostic or coronary vasospasm. Four patients (8 percent) had evidence of coronary vasospasm. Over 30 variables, including preoperative demographic information and medication, intraoperative technique, and postoperative medication, were subjected to multiple stepwise regression analysis. This analysis failed to show any association between preoperative prophylaxis with either nifedipine or nitrates (or other variables) and the postoperative development of coronary vasospasm. We conclude that the incidence of coronary vasospasm is more common than previously thought, and that a nifedipine or nitrate withdrawal, in this study, was not associated with an increased incidence of postoperative coronary vasospasm.
Authors:
Z S Lockerman; D M Rose; J N Cunningham; E Lichstein
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Chest     Volume:  89     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  1986 May 
Date Detail:
Created Date:  1986-06-06     Completed Date:  1986-06-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  647-51     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Coronary Artery Bypass*
Coronary Vasospasm / diagnosis,  epidemiology,  etiology
Electrocardiography* / instrumentation
Electrodes
Female
Humans
Intraoperative Complications / diagnosis,  epidemiology,  etiology
Male
Middle Aged
Monitoring, Physiologic / instrumentation
Nifedipine / therapeutic use
Nitrates / therapeutic use
Postoperative Care
Postoperative Complications / diagnosis,  epidemiology,  etiology
Preoperative Care
Chemical
Reg. No./Substance:
0/Nitrates; 21829-25-4/Nifedipine

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


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