Document Detail

Silent myocardial ischaemia in patients undergoing transurethral prostatectomy. A study to evaluate risk scoring and anaesthetic technique with outcome.
MedLine Citation:
PMID:  8795313     Owner:  NLM     Status:  MEDLINE    
Ninety four patients undergoing transurethral resection of the prostate underwent Holter electrocardiographic monitoring pre- and postoperatively. There was no difference in silent myocardial ischaemia incidence or load between the spinal (n = 60) and the general anaesthesia (n = 34) groups. Ischaemic heart disease and a higher Detsky score both significantly increased the incidence of silent myocardial ischaemia but not the ischaemic load of those patients that actually demonstrated ischaemia. In this specific surgical population, not undergoing cardiac or vascular surgery, both ischaemic heart disease and cardiac risk scores are poor predictors of ischaemic load. Merely the presence of short duration silent myocardial ischaemia probably has little predictive value for postoperative adverse outcome.
A Windsor; G W French; J W Sear; P Foëx; S V Millett; S J Howell
Related Documents :
3428843 - Prognostic importance of silent ischemia during long-term follow-up of patients with co...
24774043 - Study of post-infarction coronary perfusion using quantitative analysis of myocardial e...
9758313 - Restenosis, the achilles' heel of coronary angioplasty.
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Anaesthesia     Volume:  51     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  1996 Aug 
Date Detail:
Created Date:  1996-10-10     Completed Date:  1996-10-10     Revised Date:  2009-09-29    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  728-32     Citation Subset:  AIM; IM    
Nuffield Department of Anaesthetics, University of Oxford, John Radcliffe Hospital, Headington.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Anesthesia, General
Anesthesia, Spinal
Electrocardiography, Ambulatory
Myocardial Ischemia / complications*
Postoperative Complications*
Risk Factors
Grant Support
//Wellcome Trust
Comment In:
Anaesthesia. 1997 Jan;52(1):91   [PMID:  9014565 ]

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

Previous Document:  The prognostic value of serial measurements of serum albumin concentration in patients admitted to a...
Next Document:  Lung aeration. The effect of pre-oxygenation and hyperoxygenation during total intravenous anaesthes...