Perioperative myocardial ischaemia and myocardial infarction

Czech version

Authors: Vaněk Tomáš ¹; Špegár Ján ²
Authors‘ workplace: Kardiochirurgická klinika, 3. LF UK, Praha ¹; Cardiothoracic Anaesthesia, Freeman Hospital, Newcastle upon Tyne, UK ²
Published in: Anest. intenziv. Med., 25, 2014, č. 6, s. 418-426
Category: Anesthesiology - Review Article

Overview

Perioperative myocardial ischaemia and myocardial infarction have become a growing problem bringing an increase in mortality, hospital length of stay and financial costs. The incidence is higher postoperatively than in the immediate preoperative and perioperative period. There are two distinct patho-physiological mechanisms which may lead to perioperative myocardial infarction: myocardial injury related to the rupture, fissuring, erosion or dissection of an atherosclerotic plaque (myocardial infarction type 1) and prolonged imbalance in myocardial oxygen supply and demand (myocardial infarction type 2). The review article discusses the diagnostics (ECG, cardiac biomarkers, intraoperative ECHO), prevention (the question of preoperative myocardial revascularization) and management according to guidelines reflecting Evidence Based Medicine.

Keywords:
myocardial ischaemia – myocardial infarction – perioperative period

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Labels

Anaesthesiology, Resuscitation and Inten Intensive Care Medicine

Echocardiographic evaluation of the right ventricular function

Guideline on Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Noncardiac Surgery: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines

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Article was published in

Anaesthesiology and Intensive Care Medicine

2014 Issue 6