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Year : 2014  |  Volume : 3  |  Issue : 1  |  Page : 63-65

Intraoperative acute coronary syndrome in a patient during laprotomy

Department of Anesthesia, Krishna Institute of Medical Sciences, Secunderabad, Andhra Pradesh, India

Correspondence Address:
Jayashree C Patki
Swagat-2-1-437/5, Street No. 5, Nallakunta, Hyderabad - 500 044, Andhra Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2277-8632.128446

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Incidence of coronary artery disease is on rise amongst the population, which is the major underlying pathology for acute coronary syndrome (ACS). So every anesthetist may encounter the patients with ACS and should know how to recognize and manage them. Its earliest detection and proper management can prevent further myocardial damage, thus preventing further morbidity and mortality. The patient described here had an increased risk for perioperative ischemia because of old age associated with history of hypertension, diabetes mellitus, chronic renal failure, and underwent a major surgical procedure (laprotomy). Beta-blockers were not administered and aspirin was discontinued during his preoperative preparation. All these factors might have contributed for the genesis of the myocardial ischemia in this patient.

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