Left ventricular dysfunction after non-cardiac surgical procedures in patients with ischemic heart disease.

Abstract:

:In order to demonstrate the presence of postischemic ventricular dysfunction after non-cardiac surgical procedures, myocardial perfusion scintigraphy with thallium 201 and radionuclide ventriculography were performed before and 24 h after intervention in 20 patients suffering from angina pectoris. A long-term ECG recording was used in all patients to detect peroperative myocardial ischemia. In 14 of the 20 patients studied, both ventriculography and thallium scintigraphy were unchanged at the postoperative study. Comparison of pre- and postoperative radionuclide data revealed an increased deficit in one patient, both increased deficit and decreased ejection fraction in four others and a decreased ejection fraction in one other. In these five last patients, continuous ECG recording demonstrated the occurrence of peroperative ST segment depression. These results underline the part played by prolonged peroperative episodes of myocardial ischemia in the occurrence of postoperative left ventricular dysfunction.

authors

Coriat P,Fauchet M,Bousseau D,Mundler O,Rous AC,Echter E,Viars P

doi

10.1111/j.1399-6576.1985.tb02304.x

subject

Has Abstract

pub_date

1985-11-01 00:00:00

pages

804-10

issue

8

eissn

0001-5172

issn

1399-6576

journal_volume

29

pub_type

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