Identification of intraoperative myocardial ischemia by transesophageal echocardiography

  • Marc E. R. M. Van Daele
  • George R. Sutherland
  • Jos R. T. C. Roelandt
Part of the Developments in Cardiovascular Medicine book series (DICM, volume 113)


The perioperative management of patients who are at risk for cardiac complications has improved dramatically with both the introduction of invasive hemodynamic monitoring and the aggressive use of inotropic and vasoactive drugs [1]. Nevertheless myocardial ischemia and infarction remain the primary cause of perioperative morbidity and mortality in the increasing number of older patients undergoing major surgery [2–6]. This perioperative cardiac mortality could be further reduced if myocardial ischemia could reliably be detected early enough to allow therapeutical intervention before ischemia has progressed to infarction as perioperative infarction carries a mortality of 50–70%. In this respect previous studies have found both hemodynamic monitoring and the electrocardiogram to be insensitive detectors [5, 7, 8].


Myocardial Ischemia Wall Motion Transesophageal Echocardiography Regional Wall Motion Abnormality Left Ventricular Wall Motion 
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Copyright information

© Kluwer Academic Publishers 1991

Authors and Affiliations

  • Marc E. R. M. Van Daele
  • George R. Sutherland
  • Jos R. T. C. Roelandt

There are no affiliations available

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