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Anesth Analg 1983; 62:493-498
© 1983 International Anesthesia Research Society
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Effects of Myocardial Infarction on Perioperative Cardiac Complications

Sonja L. Schoeppel, MD, Carolyn Wilkinson, MD, John Waters, BA, BS, and Sheridan N. Meyers, MD

Received from the Departments of Anesthesiology and Cardiology, Northwestern Memorial Hospital, Chicago, Illinois.

Abstract

Of 1104 consecutive noncardiac operations on 981 patients using general anesthesia, 63 were performed on 53 patients who had had a previous myocardial infarction. Patients with a previous infarct were compared to those with no prior infarct to determine the influence of a previous infarct on perioperative cardiac complications. Two of the 53 patients with a previous myocardial infarction (3.8%) had perioperative myocardial infarction, compared to 0.4% (4/928) of patients with no prior history of myocardial infarction (P < 0.05). Ventricular tachycardia (P < 0.05) and cardiac death (P < 0.02) were more frequent in patients with a previous myocardial infarction compared to those with no prior infarct. All patients with a previous myocardial infarction who developed cardiac complications underwent vascular procedures (P < 0.005) and were over 77 years of age. The two patients who reinfarcted experienced intra-operative hypotension (P < 0.05). Fourteen of the 53 patients with a history of a myocardial infarction (26.4%) had previous coronary artery bypass surgery; no perioperative cardiac complications occurred in these patients.

Key Words: HEART: coronary occlusion • COMPLICATIONS: myocardial infarction




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1983 by the International Anesthesia Research Society.