Improved monitoring of myocardial ischaemia during major vascular surgery using transoesophageal echocardiography.


:As regional wall motion abnormality (RWA) is the first sign of ischaemia, transoesophageal echocardiography was evaluated as a monitoring device in 51 patients undergoing abdominal aortic surgery. Wall motion of the entire left ventricular wall (nine segments) was semiquantitatively evaluated 15 min before and after aortic cross-clamping and 3 h after declamping. In addition, limb lead II of the electrocardiogram was simultaneously recorded. At baseline, RWA was present in 16 patients (31%). New or worsened RWA 15 min after aortic cross-clamping was seen in 17 patients, of whom 11 had persistent RWA, i.e. it was still present 3 h after declamping. This was associated in seven patients with enzymatically documented myocardial infarction. Only one infarct patient demonstrated ST segment changes of more than 1 mm. Thus, a single electrocardiographic surface lead is insensitive for perioperative myocardial ischaemia detection. Furthermore, new and/or worsened RWA after aortic cross-clamping, which persists until 3 h after declamping, is, to a considerable degree, associated with perioperative infarction.


Eur Heart J


European heart journal


Koolen JJ,Visser CA,Reichert SL,Jaarsma WJ,Kromhout JG,van Wezel HB,Dunning AJ




Has Abstract


1992-08-01 00:00:00












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    pub_type: 杂志文章,多中心研究,随机对照试验


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    更新日期:1998-04-01 00:00:00

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    pub_type: 杂志文章


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    更新日期:2013-02-01 00:00:00

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    更新日期:2019-04-14 00:00:00

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    更新日期:1993-10-01 00:00:00

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    pub_type: 临床试验,杂志文章


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    更新日期:1996-12-01 00:00:00

  • Association between baseline neutrophil count, clopidogrel therapy, and clinical and angiographic outcomes in patients with ST-elevation myocardial infarction receiving fibrinolytic therapy.

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    journal_title:European heart journal

    pub_type: 杂志文章,多中心研究,随机对照试验


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    更新日期:2008-04-01 00:00:00

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    更新日期:2009-06-01 00:00:00

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    journal_title:European heart journal

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    更新日期:2016-04-14 00:00:00

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    journal_title:European heart journal

    pub_type: 杂志文章,评审


    authors: Cleland JG

    更新日期:1998-12-01 00:00:00

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    journal_title:European heart journal

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    更新日期:1994-03-01 00:00:00

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    journal_title:European heart journal

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    authors: Boveda S,Marijon E,Jacob S,Defaye P,Winter JB,Bulava A,Gras D,Albenque JP,Combes N,Pavin D,Delarche N,Teubl A,Lambiez M,Chevalier P,Mona Lisa Study Group.

    更新日期:2009-05-01 00:00:00

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    journal_title:European heart journal

    pub_type: 杂志文章


    authors: Müller C,Cernin J,Glogar D,Laczkovics A,Mayr H,Scheibelhofer W,Schmidinger H,Schuster E,Sedlacek K,Kaliman J

    更新日期:1988-09-01 00:00:00

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    abstract::Isolated quadricuspid aortic valve is very rare. The identification of this malformation can be made by cross-sectional echocardiography. Two cases of quadricuspid aortic valve diagnosed by cross-sectional echocardiography are described. ...

    journal_title:European heart journal

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    authors: Chamsi-Pasha H,Barnes PC,Beton DC

    更新日期:1988-11-01 00:00:00

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    journal_title:European heart journal

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    authors: Thiemermann C,Smith EF 3rd,Schrör K

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    authors: Maggioni AP,Tavazzi L,Fabbri G,Lucci D,Santoro E,Canonico A,Galli M,Achilli F,Tognoni G

    更新日期:1998-12-01 00:00:00

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    journal_title:European heart journal

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    journal_title:European heart journal

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    更新日期:1983-05-01 00:00:00

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    更新日期:1997-03-01 00:00:00

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    journal_title:European heart journal

    pub_type: 杂志文章


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    更新日期:2007-04-01 00:00:00

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    journal_title:European heart journal

    pub_type: 杂志文章


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    journal_title:European heart journal

    pub_type: 杂志文章


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    journal_title:European heart journal

    pub_type: 临床试验,杂志文章,随机对照试验


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    更新日期:1999-06-01 00:00:00

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    journal_title:European heart journal

    pub_type: 杂志文章


    authors: Macchia A,Romero M,D'Ettorre A,Mariani J,Tognoni G

    更新日期:2012-02-01 00:00:00