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The Annals of Thoracic Surgery, Vol 35, 208-225, Copyright © 1983 by The Society of Thoracic Surgeons
AJ Roberts
Recent advances in perioperative management and surgical technique have
been associated with low operative mortality and a high incidence of
symptomatic relief in patients undergoing coronary artery bypass graft
(CABG) operations. The frequency and importance of perioperative myocardial
infarction (MI) and immediate as well as long-term changes in left
ventricular (LV) performance are factors of considerable current interest
in any critical analysis of the effectiveness of CABG surgery. The present
review describes the effects of patient selection, anesthetic techniques,
and newer methods of myocardial protection as they relate to perioperative
MI and LV performance. In addition, newer tests useful in the diagnosis of
perioperative MI are discussed. The application of noninvasive techniques
for the serial determination of LV performance and myocardial perfusion in
CABG operations is also described.
ARTICLES
Perioperative myocardial infarction and changes in left ventricular performance related to coronary artery bypass graft surgery
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