Cardiac complications are a leading cause of death after surgery. This all-inclusive guide examines the epidemiology, pathophysiology, diagnosis, and treatment of perioperative myocardial injury and infarction, and provides an expert assessment of the latest methods and strategies for the optimal care of these patients.
The Epidemiology of Perioperative Cardiac Complications. The Pathophysiology of Ischaemic Heart Disease. The Management of Ischaemic Heart Disease. Mechanisms of Perioperative Myocardial Injury. Stunning, Hibernation, Preconditioning and the Effects of Anaesthetic Drugs Preoperative Assessment. Cardioprotection by Modulation of the Adrenergic System. The Intraoperative Period: Does the Anaesthetic Matter? The Diagnosis of Perioperative Ischaemia and Infarction. The Management of Perioperative Ischaemia and Infarction. Arrhythmias and the Surgical Patient. Heart Failure and the Surgical Patient. Grown-Up Congenital Heart Disease and Non-Cardiac Anaesthesia for the Heart Transplant Patient. Carotid Endarterectomy: A Special Case. Urgent Surgery in Patients with Severe Coronary Artery Disease. Anesthetic Management of Patients with Valvular Heart Disease in Non-Cardiac Surgery. Long-Term Care: Primary and Secondary Prevention. Conclusions and the Future