Perioperative Myocardial Infarction

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Etiology• Surgically induced Proinflamatory responses: Release of cytokines Hypercoagulability Fibrinolytic activity Endothelial dysfunction Atherosclerotic plaque instability Hemodynamic changes SNS stimuli and painful stimuliISCHEMIA!!!!!!!!!
Etiology• Pro-inflammatory response more likely to because a cardiac event than the patient’sunderlying cardiac status• Autoregulation impaired under anesthesia &altered in patients with CAD
Page 1 and 2: PERIOPERATIVEMYOCARDIAL INFARCTION
Page 3 and 4: Objectives• Examine prevalence an
Page 8 and 9: Additional Risk factors• High ris
Page 11: Preoperative Assessment• Six step
Page 15 and 16: Intraoperative Diagnostics• Diagn
Page 20 and 21: Signs and Symptoms• Hemodynamic:
Page 22 and 23: Differential Diagnosis• MI may pr
Page 24: Intraoperative Prevention• Mainta
Page 27 and 28: BETA BLOCKERS• BB: Use in high ri
Page 29 and 30: Impending Cardiogenic Shock• Earl
Page 31 and 32: Postop Management• Catecholamine
Page 33 and 34: Conclusions• Anesthetists must be
Page 35 and 36: Forget everything already???• Loo
Page 37 and 38: REFERENCES• Adesanya, A., de Lemo
Page 39 and 40: REFERENCES• Barash, P. G., Cullen

Perioperative Myocardial Infarction

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