Anesthesia for Patients with Coronary Artery Disease

  • Carol L. Lake


The clinical spectrum of coronary artery disease has been recently assessed by the Coronary Artery Surgery Study (CASS) (75). It indicated that many (83%) but not all patients had chest pain, although the pain was not necessarily angina pectoris. Associated risk factors were positive family history, hypertension, diabetes, and cigarette smoking. The significance of breathing disorders or hypoxia during sleep to the progression of CAD is uncertain (38). Although there is wide variation in the number of patients receiving surgical therapy at different centers, the frequency of cardiac or noncardiac surgery in patients with coronary disease has risen steadily in recent years. A report of patients randomly assigned to surgical or medical therapy in the CASS has suggested that surgery may be delayed in patients with preserved ventricular function and stable angina until their symptoms worsen (23).


Myocardial Blood Flow Coronary Blood Flow Myocardial Oxygen Consumption Coronary Artery Spasm Coronary Vascular Resistance 
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Copyright information

© Springer-Verlag New York Inc. 1985

Authors and Affiliations

  • Carol L. Lake
    • 1
  1. 1.University of Virginia Medical CenterCharlottesvilleUSA

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