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Computerised evaluation of the electrocardiogram during and for a short period after gall bladder surgery
Author(s) -
Jakobsson J.,
Rehnqvist N.,
Davidson S.
Publication year - 1989
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/j.1399-6576.1989.tb02948.x
Subject(s) - medicine , st segment , etiology , myocardial infarction , cholecystectomy , depression (economics) , surgery , elective surgery , blood pressure , cardiology , anesthesia , economics , macroeconomics
Long‐term ECG recording on tape (LTER) was performed in 32 consecutive patients undergoing cholecystectomy. Twenty‐two of the patients recorded showed ST‐segment changes during the per‐ and early post‐operative period. ST‐segment depression was the most common change seen in 17 patients; however, 12 patients showed ST‐segment elevation. In only nine patients were the ST‐segment changes seen to be associated with major changes in pulse or blood pressure. ST‐segment changes were seen as frequently in patients with, as without, known cardiovascular disease. All patients had an uncomplicated postoperative course and no case of myocardial infarction was seen. ST‐segment changes during elective surgery seem to be a common phenomenon. The etiology of the observed changes is not clear and its value in the detection of per‐ or postoperative myocardial ischemia needs to be further evaluated.