MYOCARDIAL ISCHAEMIA AND SPINAL ANALGESIA IN PATIENTS WITH ANGINA PECTORIS

We have studied prospectively myocardial ischaemic events by Holter monitoring of ST-segment depression in patients with angina pectoris given spinal analgesia for minor surgery compared with a reference day of normal daily activities. Monitoring was undertaken continuously for 24 h on both days, st...

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Bibliographic Details
Published in:British journal of anaesthesia : BJA 1993-10, Vol.71 (4), p.472-475
Main Authors: CHRISTENSEN, E.F., SØGAARD, P., EGEBO, K., BACH, L.F., RIIS, J.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
anaesthetic techniques: spinal
Anesthesia
Anesthesia depending on patient's condition
Anesthesia, Spinal
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Angina Pectoris - physiopathology
Biological and medical sciences
Electrocardiography, Ambulatory
Female
Heart Rate - physiology
heart: ischaemia
Humans
Male
Medical sciences
Middle Aged
Minor Surgical Procedures
monitoring: Holter monitoring
Myocardial Ischemia - etiology
Prospective Studies
Time Factors
Citations: Items that cite this one
Online Access:Get full text
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Summary:We have studied prospectively myocardial ischaemic events by Holter monitoring of ST-segment depression in patients with angina pectoris given spinal analgesia for minor surgery compared with a reference day of normal daily activities. Monitoring was undertaken continuously for 24 h on both days, starting just before anaesthesia on the day of surgery. On the reference day, seven of 14 patients had 27 ischaemic events with mean max ST-depression of 0.15 mV and total duration of 143 min, compared with 10 of 14 patients with 70 ischaemic events with mean max ST-depression of 0.22 mV and total duration of 1078 min (P
ISSN:0007-0912
1471-6771
DOI:10.1093/bja/71.4.472