Open AccessPERI-OPERATIVE INJURY AND MYOCARDIAL INFARCTION
Author(s) -
В. В. Ломиворотов,
В. Н. Ломиворотов
Publication year - 2019
Publication title -
vestnik anesteziologii i reanimatologii
Language(s) - English
Resource type - Journals
eISSN - 2541-8653
pISSN - 2078-5658
DOI - 10.21292/2078-5658-2019-16-2-51-56
Subject(s) - medicine , complication , perioperative , myocardial infarction , tachycardia , cardiology , troponin , chest pain , anesthesia , surgery
Peri-operative myocardial infarction (MI) is the most severe complication of non-cardiac surgery associated with a high post-operative mortality rate. The main risk factors responsible for the development of this complication include concurrent cardiovascular pathology, as well as intra-operative hypertension and tachycardia. Diagnosis MI in the postoperative period is complicated due to an insignificant pain syndrome because of administration of analgesics and the lack of routine monitoring of troponin levels. Maintaining a balance between myocardial oxygen delivery and consumption is a key factor in the prevention of this complication.