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Online ISSN 1827-1596
Bigatello L. M. 1, 2, Coppo A. 2
1 Department of Anesthesia & Critical Care Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
2 Servizio di Anestesia e Rianimazione Ospedale San Gerardo Università di Milano-Bicocca Monza, Milano
Cardiovascular complications are commonly observed in surgical patients, and miocardial ischemia is the most important determinant of perioperative morbidity. The clinical criteria defining a patient population at increased risk for cardiovascuar events are presented. The authors review the principles of monitoring and diagnosing miocardial ischemia, focusing on elettrocardiography and TransEsophageal Echocardiography. These patients must be closely followed long after the end of surgery, since the risk for cardiac morbidity is high for several houros postoperatively.