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Reinfarction following anesthesia in patients with myocardial infarction.
- Source :
-
Anesthesiology [Anesthesiology] 1983 Dec; Vol. 59 (6), pp. 499-505. - Publication Year :
- 1983
-
Abstract
- The authors studied the incidence of and factors related to recurrent perioperative myocardial infarction retrospectively during 1973-1976 (Group 1) and prospectively during 1977-1982 (Group 2). Reinfarction occurred in 28 of 364 (7.7%) patients in Group 1 and 14 of 733 (1.9%) in Group 2 (P less than 0.005). When the previous infarction was 0-3 and 4-6 months old, perioperative reinfarction occurred in 36% and 26% of Group 1 patients, respectively, and only 5.7% and 2.3% of Group 2 patients, respectively, (P less than 0.05). In both groups, patients with associated congestive heart failure had a higher reinfarction rate. Patients who had intraoperative hypertension and tachycardia or hypotension develop had a higher incidence of reinfarction in both groups. The results suggest that preoperative optimization of the patient's status, aggressive invasive monitoring of the hemodynamic status, and prompt treatment of any hemodynamic aberration may be associated with decreased perioperative morbidity and mortality in patients with previous myocardial infarction. Which of these factors, if any, contributed to the improved outcome was not determined in this study.
- Subjects :
- Aged
Female
Hemodynamics
Humans
Male
Middle Aged
Monitoring, Physiologic
Myocardial Infarction diagnosis
Myocardial Infarction mortality
Pulmonary Wedge Pressure
Recurrence
Retrospective Studies
Anesthesia adverse effects
Myocardial Infarction etiology
Surgical Procedures, Operative adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 0003-3022
- Volume :
- 59
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Anesthesiology
- Publication Type :
- Academic Journal
- Accession number :
- 6650905
- Full Text :
- https://doi.org/10.1097/00000542-198312000-00003