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Year : 2017  |  Volume : 61  |  Issue : 9  |  Page : 705-711

The patient with ischaemic heart disease undergoing non cardiac surgery

Department of Anaesthesiology, Sparsh Super Speciality Hospital, Sri Jayadeva Institute Cardiovascular Sciences and Research, Bengaluru, Karnataka, India

Correspondence Address:
Jagadish Hedge
Sparsh Super Speciality Hospital, Tumkur Road, Yeshwanthpur, Bengaluru - 560 022, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ija.IJA_384_17

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The incidence of ischaemic heart disease (IHD) is increasing. The patients with IHD with or without interventions coming for non-cardiac surgical procedures are also increasing. These patients have increased risk of myocardial ischaemia, myocardial infarction (MI), conduction disturbances, morbidity and mortality during the peri-operative period. The risks of these events are even higher in patients with recent MI. An anaesthesiologist should be aware of the pathophysiology and the need to thoroughly evaluate the patient for peri-operative management. We searched Pubmed using combinations of terms like “ischemic heart disease” and “anaesthesia”, “perioperative”, and “anaesthetic implications”. We reviewed the current practices and guidelines regarding evaluation, risk stratification and management.

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