Elective surgery after recent MI
so you get an elective non-cardiac surgery case (intraabdominal), whose patient literally had a full inferior STEMI last week (troponin >2), became bradycardic & cardiogenic shock and ended up in ICU intubated on Dopa & Epi gtt. Echo showed mild global hypokinesis EF 45%, but cath showed diffused vasospasm without significant CAD. She recovered, echo normalized, and barely got discharged. Cardiologist said, well, since she doesn't have CAD and MI was purely due to vasospasm, OK to proceed...
Elective surgery after recent MI
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Gasper Tags: Anesthesiology Source Type: forums
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