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MINERVA ANESTESIOLOGICA

A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care


Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
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MONITORING  SMART 2001


Minerva Anestesiologica 2001 April;67(4):314-9

language: English

Intraoperative monitoring of myocardial ischemia

Bigatello L. M. 1, 2, Coppo A. 2

From the
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


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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.

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