Abstract
We present an unusual case of verified myocardial infarction without surgery. Successful elective lumbar spine surgery was performed 4 days post-myocardial infarction during perioperative beta-blockade, after cardiology evaluation recommended surgery without further evaluation. Clinical and ethical considerations are discussed.
MeSH terms
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Adrenergic beta-Antagonists / administration & dosage
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Anesthesia, General / adverse effects*
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Anti-Inflammatory Agents, Non-Steroidal / administration & dosage
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Aspirin / administration & dosage
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Back Pain / etiology
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Blood Pressure / drug effects
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Decision Making / physiology
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Elective Surgical Procedures / ethics*
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Electrocardiography / methods
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Female
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Heart Rate / drug effects
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Humans
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Lumbar Vertebrae / surgery
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Metoprolol / administration & dosage
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Middle Aged
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Myocardial Infarction / complications*
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Myocardial Infarction / etiology
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Nerve Block / methods
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Tachycardia / drug therapy
Substances
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Adrenergic beta-Antagonists
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Anti-Inflammatory Agents, Non-Steroidal
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Metoprolol
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Aspirin