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MONITORING  SMART 2001 Free accessfree

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

Copyright © 2009 EDIZIONI MINERVA MEDICA

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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