PERIOPERATIVE MYOCARDIAL-ISCHEMIA IN PATIENTS UNDERGOING TRANSURETHRAL SURGERY - A PILOT-STUDY COMPARING GENERAL WITH SPINAL-ANESTHESIA

被引：22

作者：

EDWARDS, ND

CALLAGHAN, LC

WHITE, T

REILLY, CS

机构：

[1] Univ Dept Surgical Anaesth Sciences, Royal Hallamshire Hospital, Sheffield S10 2JF, Glossop Road

来源：

BRITISH JOURNAL OF ANAESTHESIA | 1995年 / 74卷 / 04期

关键词：

HEART; ISCHEMIA; SURGERY; UROLOGICAL; ANESTHESIA; GENERAL; ANESTHETIC TECHNIQUES; SUBARACHNOID;

D O I：

10.1093/bja/74.4.368

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

We have studied the incidence and duration of perioperative myocardial ischaemia using ambulatory ECG monitoring in 100 patients undergoing transurethral surgery, who were allocated randomly to receive either general or spinal anaesthesia. The overall incidence of myocardial ischaemia increased from 18% to 26% between the preoperative and postoperative periods. Patients with ischaemic heart disease had a significantly greater incidence of myocardial ischaemia after operation than patients without known ischaemic heart disease (P < 0.05). There was an increase in both the incidence and duration of myocardial ischaemia after operation with both anaesthetic techniques, but no significant difference between the two.

引用

收藏

页码：368 / 372

页数：5

相关论文

共 16 条

[1] MYOCARDIAL-ISCHEMIA AND SPINAL ANALGESIA IN PATIENTS WITH ANGINA-PECTORIS [J].

CHRISTENSEN, EF ;

SOGAARD, P ;

EGEBO, K ;

BACH, LF ;

RIIS, J .

BRITISH JOURNAL OF ANAESTHESIA, 1993, 71 (04) :472-475

[2] THE PREDICTIVE VALUE OF PREOPERATIVE SILENT ISCHEMIA FOR POSTOPERATIVE ISCHEMIC CARDIAC EVENTS IN VASCULAR AND NONVASCULAR SURGERY PATIENTS [J].

FLEISHER, LA ;

ROSENBAUM, SH ;

NELSON, AH ;

BARASH, PG .

AMERICAN HEART JOURNAL, 1991, 122 (04) :980-986

[3] RELATIONSHIP BETWEEN HYPOXEMIC AND CARDIAC ISCHEMIC EVENTS IN THE PERIOPERATIVE PERIOD [J].

GILL, NP ;

WRIGHT, B ;

REILLY, CS .

BRITISH JOURNAL OF ANAESTHESIA, 1992, 68 (05) :471-473

[4] PREDICTORS OF POSTOPERATIVE MYOCARDIAL-ISCHEMIA IN PATIENTS UNDERGOING NONCARDIAC SURGERY [J].

HOLLENBERG, M ;

MANGANO, DT ;

BROWNER, WS ;

LONDON, MJ ;

TUBAU, JF ;

TATEO, IM .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1992, 268 (02) :205-209

[5] IMPORTANCE OF LONG-DURATION POSTOPERATIVE ST-SEGMENT DEPRESSION IN CARDIAC MORBIDITY AFTER VASCULAR-SURGERY [J].

LANDESBERG, G ;

LURIA, MH ;

COTEV, S ;

EIDELMAN, LA ;

ANNER, H ;

MOSSERI, M ;

SCHECHTER, D ;

ASSAF, J ;

EREL, J ;

BERLATZKY, Y .

LANCET, 1993, 341 (8847) :715-719

[6] ASSOCIATION OF PERIOPERATIVE MYOCARDIAL-ISCHEMIA WITH CARDIAC MORBIDITY AND MORTALITY IN MEN UNDERGOING NONCARDIAC SURGERY [J].

MANGANO, DT ;

BROWNER, WS ;

HOLLENBERG, M ;

LONDON, MJ ;

TUBAU, JF ;

TATEO, IM .

NEW ENGLAND JOURNAL OF MEDICINE, 1990, 323 (26) :1781-1788

[7] PERIOPERATIVE CARDIAC MORBIDITY [J].

MANGANO, DT .

ANESTHESIOLOGY, 1990, 72 (01) :153-184

[8] PERIOPERATIVE MYOCARDIAL-ISCHEMIA IN PATIENTS UNDERGOING ELECTIVE HIP-ARTHROPLASTY DURING LUMBAR REGIONAL ANESTHESIA [J].

MARSCH, SCU ;

SCHAEFER, HG ;

SKARVAN, K ;

CASTELLI, I ;

SCHEIDEGGER, D .

ANESTHESIOLOGY, 1992, 76 (04) :518-527

[9] CONTINUOUS AMBULATORY ECG MONITORING IN THE PERIOPERATIVE PERIOD - RELATIONSHIP OF PREOPERATIVE STATUS AND OUTCOME [J].

MCHUGH, P ;

GILL, NP ;

WYLD, R ;

NIMMO, WS ;

REILLY, CS .

BRITISH JOURNAL OF ANAESTHESIA, 1991, 66 (03) :285-291

[10] TRANSURETHRAL PROSTATECTOMY - COMPUTERIZED ANALYSIS OF 2,223 CONSECUTIVE CASES [J].

MELCHIOR, J ;

VALK, WL ;

FORET, JD ;

MEBUST, WK .

JOURNAL OF UROLOGY, 1974, 112 (05) :634-642