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    
Abstract/OtherAbstract:
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.
Authors:
A Windsor; G W French; J W Sear; P Foëx; S V Millett; S J Howell
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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    
Affiliation:
Nuffield Department of Anaesthetics, University of Oxford, John Radcliffe Hospital, Headington.
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MeSH Terms
Descriptor/Qualifier:
Aged
Anesthesia, General
Anesthesia, Spinal
Electrocardiography, Ambulatory
Humans
Male
Myocardial Ischemia / complications*
Postoperative Complications*
Prostatectomy*
Risk Factors
Grant Support
ID/Acronym/Agency:
//Wellcome Trust
Comments/Corrections
Comment In:
Anaesthesia. 1997 Jan;52(1):91   [PMID:  9014565 ]

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