Elective surgery days after myocardial infarction: clinical and ethical considerations

Pei-Lee Ee; Paul M Kempen

doi:10.1016/j.jclinane.2005.12.002

Elective surgery days after myocardial infarction: clinical and ethical considerations

J Clin Anesth. 2006 Aug;18(5):363-6. doi: 10.1016/j.jclinane.2005.12.002.

Authors

Pei-Lee Ee¹, Paul M Kempen

Affiliation

¹ Department of Anesthesiology, University of Pittsburgh Medical Center, Presbyterian University Hospital, Pittsburgh, PA 15213, USA.

PMID: 16905082
DOI: 10.1016/j.jclinane.2005.12.002

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.

Publication types

Case Reports

MeSH terms

Adrenergic beta-Antagonists / administration & dosage
Anesthesia, General / adverse effects*
Anti-Inflammatory Agents, Non-Steroidal / administration & dosage
Aspirin / administration & dosage
Back Pain / etiology
Blood Pressure / drug effects
Decision Making / physiology
Elective Surgical Procedures / ethics*
Electrocardiography / methods
Female
Heart Rate / drug effects
Humans
Lumbar Vertebrae / surgery
Metoprolol / administration & dosage
Middle Aged
Myocardial Infarction / complications*
Myocardial Infarction / etiology
Nerve Block / methods
Tachycardia / drug therapy

Substances

Adrenergic beta-Antagonists
Anti-Inflammatory Agents, Non-Steroidal
Metoprolol
Aspirin